Hirschsprung's disease physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Hirschsprung's disease}} | {{Hirschsprung's disease}} | ||
{{CMG}}{{AE}}{{ADG}} | |||
==Overview== | |||
Physical examination is not diagnostic in newborns. It may reveal a [[distended abdomen]] and/or [[anal spasm]]. In older children, [[abdominal distension]] may result from the inability to release [[flatus]].<ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref> | |||
==Physical examination== | |||
===General appearance=== | |||
Patients may appear toxic if [[Enterocolitis|enterocoilitis]] occurred. | |||
===Vitals=== | |||
*[[Hypotension]] | |||
*[[Tachycardia]] | |||
===Abdomen=== | |||
*[[Distension]] | |||
*Empty [[rectum]] on [[Rectal examination|digital rectum examination]] | |||
*[[Impaction|Rectal impaction]]<ref name="pmid28601177">{{cite journal |vauthors=Stanescu AL, Liszewski MC, Lee EY, Phillips GS |title=Neonatal Gastrointestinal Emergencies: Step-by-Step Approach |journal=Radiol. Clin. North Am. |volume=55 |issue=4 |pages=717–739 |year=2017 |pmid=28601177 |doi=10.1016/j.rcl.2017.02.010 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 15:11, 21 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Physical examination is not diagnostic in newborns. It may reveal a distended abdomen and/or anal spasm. In older children, abdominal distension may result from the inability to release flatus.[1]
Physical examination
General appearance
Patients may appear toxic if enterocoilitis occurred.
Vitals
Abdomen
References
- ↑ 1.0 1.1 Das K, Mohanty S (2017). "Hirschsprung Disease - Current Diagnosis and Management". Indian J Pediatr. doi:10.1007/s12098-017-2371-8. PMID 28600660.
- ↑ Stanescu AL, Liszewski MC, Lee EY, Phillips GS (2017). "Neonatal Gastrointestinal Emergencies: Step-by-Step Approach". Radiol. Clin. North Am. 55 (4): 717–739. doi:10.1016/j.rcl.2017.02.010. PMID 28601177.