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Week 7 i-Human Case Study: Functional  Constipation and Encopresis in a 4-Year-Old Male – SOAP Note & Pres
  • Case

    Week 7 i-Human Case Study: Functional Constipation and Encopresis in a 4-Year-Old Male – SOAP Note & Pres

  • 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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