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infant Vomiting (Food regurgitation (0-2 wk, aspiration pneumonia,…

- - - - Projectle Non-Billious Forumla Milk After Eating
      - Hungery And eager to Eat ( Hungery Spitter )
      - Mutliple X-ray Signs : String Sign : Shoulder Sign :
      - ElectroLytes Disturbances
        
        HypoEverything
        
        HypoCholermic HypoKalemic Metabolic Alklosis
        
        Paradoxical Acid Urea
      - olive-
        shaped mass in the
        epigastrium
      - UltraSound
        
        Thickness More than 5mm
        
        Caliber less than 5 mm
        
        Plyoric Canal Less than 15mm
  - - - Usually Abdomenial Distention From Birth
      - Delayed Passage of Mecinoum
      - obstipation
      - Tight Anal Sphenctor May Cause Fecal Discharge after Examination
- - - - Association
        
        Down Syndrome (40%)
      - Diagnosis
        
        Double Bubble X-ray Sign
        
        No-Abdominal Distention
        
        Vomiting Usually Few Hours after Birth
      - Age ( 0 - 1 ) Week
    - - Diagnosis
        
        Single Bubble X-ray
        
        No Abdomenial Distenation
    - - Diagnosis
        
        Multiple Air Fluid Levels on X-ray
        
        Vomiting Whithin 24 Hours
        
        Abdominal Distention
  - - - Cystic Fibrosis
    - - X-ray
        
        No-Air Fluid Level ,Because it is Thick Mucus so No Air