Vomiting In Children. Salma Elkhabier Morehouse School of Medicine Pediatrics Residency Program-PGY3. Physiology of Vomiting. Classification of Vomiting. According to nature: Projectile---------- ↑ ICP or pyloric stenosis Non Projectile------ GER or any other causes. According to quality
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Morehouse School of Medicine
Pediatrics Residency Program-PGY3
Pyloric muscle thickness of 4 mm or more and muscle length of 14 mm or more are
diagnostic of pyloric stenosis
Failure of contrast to pass beyond the second portion of the duodenum in UGI which is characteristic of malrotation.
Abdominal US may demonstrate malposition of superior mesenteric vessels.
“Double bubble” sign on plain radiograph, which
represents air in the stomach and proximal duodenum and
indicates duodenal atresia.
Dilated loops of small bowel with air-fluid levels,
indicative of jejunoileal atresia.
Surgical correction with duodenojejunostomy is a last resort.