Nursing Question: Hirschsprung’s Disease

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TODAY’S TEST QUESTION:


CORRECT ANSWER:

A) Delayed passing of meconium

MORE INFO:

  • “Some babies have trouble. If a baby can’t have a bowel movement, he may have Hirschsprung’s disease, a condition in which there are missing nerve cells in the large intestine”-WebMD

  • “Majority of patients with Hirchsprung (HD) are diagnosed in the neonatal period. Patients present with symptoms of distal intestinal obstruction: bilious emesis, abdominal distension, and failure to pass meconium or stool. The diagnosis is suggested by a delay in passage of the first meconium. By 48 hours of life, 100 percent of normal full-term neonates will pass meconium. In contrast, 45 to 90 percent of infants with HD will fail to pass meconium within the first 48 hours of life. However, passage of stool within the first one to two days of life does not exclude the diagnosis. There may be an explosive expulsion of gas and stool after the digital rectal examination (squirt sign or blast sign), which may relieve the obstruction temporarily.”-Up to date

Other answers:

  • B) Sausage shapes mass felt on abdomen: Intussusception

  • C) Currant jelly stool: Intussusception

  • D) Olive shaped mass in abdomen: Pyloric stenosis

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