@IhabFathiSulima mushroom sign or string sign . To treatment we rehydrate by IV fluids, K and if it need to surgery( pyloromyotomy / Ramastedโs) , you do it .
@IhabFathiSulima Upper abdomen and a palpable mass (olive -like ) in epigastriume or right hypochondrium . To diagnosis you do
blood test โก๏ธ hypokalimic hypochloremic metabolic alkalosis , US โก๏ธ thickening of muscular layer >3mm and elongatio of pylorus >15 mm, barium meal โก๏ธ shoulder sign orโฌ๏ธ
@IhabFathiSulima and multiple pregnancy. The main symptoms are painless causless recurrent bleeding . During a pregnancy the mother has a risk to placenta adhesion strectum. Delivery will be via CS .
@IhabFathiSulima It is a placenta previa. You have 4 types :
Complete ( all placenta reach to internal OS) , incomplete ( partial placenta reach to internal OS), marginal and lateralis (more than 2 cm away from internal). You have some risk factors such as previous CS, abnormal large placentaโฌ๏ธ