Questions and Answers 100% Pass
Colic - ✔✔syndrome of excessive crying for which there is no organic cause and it is
described as, Unexplained into the day crying that begins at two to three weeks. It
peaks at eight weeks and tapers at 12 weeks. There's no standard definition, but the
consensus is, is that it has to be greater than three hours a day greater than three days a
week, and lasting at least three weeks
Crying is intense and high pitched. Infants may have a flush face, a furrowed brow, and
postural changes such as bending or drawing up of the knees, clenched fist and tensed
abdominal muscles. Episodes might end with a bowel movement or passing of gas -
✔✔S/S of colic
maternal smoking, increased maternal age and being the first born child - ✔✔Risk
factors of colic
Reassurance to parents
infants improved by about three to four months during the crying spells - ✔✔Non
pharm treatment for colic
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, swaddling, making shhh sounds, swinging the baby no more than one inch back and
forth, pacifier use, repetitive sounds, and decreasing environmental stimulation, can
switch to soy formula, probiotics, simethecone(for gas) - ✔✔Strategies for soothing their
infant
Encopresis - ✔✔is defecation or the incontinence of stool in inappropriate places,
whether it be voluntary or involuntary after the age of four years old
. At least one event occurs per month for three months
is in children that have never been toilet trained, - ✔✔Primary Encopresis
is previously toilet trained children, but then they start having the stool incontinence.
Encopresis is classified as an elimination disorder in the DSM-5. - ✔✔Secondary
Encopresis
you may feel up fecal mass, this is palpable in about 40% of the patients, and there'll be
fecal soiling in the perianal region. There'll also be a dilated rectum with a normally
positioned anus. A digital rectal exam is not recommended to routinely diagnose fecal
impaction and functional encopresis or non-retentive fecal incontinence. Anal sphincter
tone may be normal or slightly decreased. The anal canal is usually shorter than normal.
Hard stool or a large amount of mushy stool may be present in the rectal vault. Non-
retentive fecal incontinence: you will not feel a palpable fecal mass; there'll be a normal
size rectum and a normal sphincter length. You want to examine deep tendon reflexes,
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