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COMPREHESIVE CASE STUDY Week 7 i Human Case Study: Functional Constipation and Encopresis in a 4-Year-Old Male – SOAP Note 2026
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---2February 2026
- COMPREHESIVE CASE STUDY Week 7 i Human Case Study: Functional Constipation and Encopresis in a 4-Year-Old Male – SOAP Note 2026
COMPREHESIVE CASE STUDY Week 7 i Human Case Study: Functional Constipation and Encopresis in a 4-Year-Old Male – SOAP Note 2026
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Case
Week 7 i-Human Case Study: Functional Constipation and Encopresis in a 4-Year-Old Male – SOAP Note & Pres
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--31February 20262025/2026A+Available in bundle
- I. Organic Causes (Less Likely but Must Be Ruled Out) 
A. Anatomic/Structural: 
1. Hirschsprung Disease: 
o Absence of ganglion cells in distal colon 
o Red flags that argue AGAINST: History of normal stooling in neonatal 
period, presence of stool in rectal vault on DRE, normal growth 
o Red flags to consider: Delayed passage of meconium (>48 hours), 
ribbon-like stools, failure to thrive 
o Testing: Anorectal manometry, rectal suction biopsy (gold standard) 
2. Anorectal Malformati...
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