Case: A 14 month old boy comes to your office below the 10% for height and weight. He has violent bilious vomiting and abdominal distention. PMH shows that he suffered a lot of constipation and did not pass meconium in the first 2 days. You push your finger into his anus, and stool rushes out. Is this (meconium ileus, duodenal atresia, Hirschsprung disease, or pyloric stenosis?)
A) It is Hirschsprung disease. The bilious and feculent vomiting are classic signs.
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"All USMLE cases are original and are expressly not from questions seen, recalled, paraphraphrased from the real USMLE, the material is for the purpose of the education of future physicians and the safety of their patients."
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04-25-2004, 12:26 AM
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