5-Chronic vomiting *Round*

,الدكتور ركز على

1. Red flags :gastrointestinal (Bilious vomiting فيهbile يعني ,Hematemesis ,sever abdominal distention,persistent vomiting,Absolute constipation )neural ( morning projectile vomiting without nausea, headache,seizure,altered consciousness,blurring vision ) ف حديثي الولاده الحجات دي هتظهر في صورة bulging of ant fontanelsystemic or endocrinal (lethargy ,fever ,failure to thrive, significant weight loss
2. Clinical approachازاي تحددهBy knowing severity of the diseaseIdentify RED FLAGES SIGNobtain detailed historyPhysical examinationPlan target investigation
3. Causes of vomiting ? "قالهم ف الHistory "هنقسم الاسباب باعتبار عمر الطفل الىIn Neonate D2 =Congenital intestinal obstruction OR Metabolic acidosis OR SepsisIn infant =Hypertrophic pyloric stenosis OR GERDIn older children =Gastritis OR Migraine OR functional disorderDKAincrease ICTGASTROINTESTINAL pathologyبص عليهم في التفريغ متنظمين كويس تبارك الله​