Hirschsprung's disease physical examination: Difference between revisions

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{{Hirschsprung's disease}}
{{Hirschsprung's disease}}
{{CMG}}{{AE}}{{ADG}}


==Overview==
==Overview==
Physical examination is nondiagnostic 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 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==
==Physical examination==
===General appearance===
===General appearance===
Patients may appear toxic if enterocoilitis sets in
Patients may appear toxic if [[Enterocolitis|enterocoilitis]] occurred.
===Vitals===
===Vitals===
*Hypotension
*[[Hypotension]]
*Tachycardia
*[[Tachycardia]]
===Abdomen===
===Abdomen===
*Distended
*[[Distension]]
*An empty rectum on digital rectum examination
*Empty [[rectum]] on [[Rectal examination|digital rectum examination]]
*Rectal impaction
*[[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}}
[[Category:Needs content]]
[[Category:Disease]]
[[Category:Gastroenterology]]
[[Category:Congenital disorders]]

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. 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.
  2. 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.