THORAX ABDOMEN AND PELVIS

MEDICAL

BREAST

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Clinical features of Hirschsprung disease?
A
Projectile vomit
B
Jaundice
C
Ganglions in the colon
D
Late exit Meconeum > 24 hours
Explanation: 

Detailed explanation-1: -Swollen belly. Vomiting, including vomiting a green or brown substance. Constipation or gas, which might make a newborn fussy. Diarrhea. Delayed passage of meconium-a newborn’s first bowel movement. 21-Aug-2021

Detailed explanation-2: -Meconium plug syndrome is a condition that predominantly affects preterm-neonates of low birth weight. It presents with an inability to pass meconium within the first 24 to 48 hours of life, and It must be properly differentiated from similar conditions.

Detailed explanation-3: -After the plug is passed, bowel movements are normal, and all symptoms resolve. However, even neonates with organic disease, such as Hirschsprung’s disease, may pass a meconium plug and do well for a period of time.

Detailed explanation-4: -The hallmark of late-diagnosed HD is chronic constipation without encopresis as far as the newborn period [16]. On physical examination, patients with late-diagnosed HD often have abdominal distention and palpation of large fecaloma. Management of HD, early or late diagnosed is mainly surgical.

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