Hirschsprung's disease physical examination

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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.

Physical examination

General appearance

Patients may appear toxic if enterocoilitis occurred.

Vitals

• Hypotension
• Tachycardia

Abdomen

• Distension
• Empty rectum on digital rectum examination
• Rectal impaction