USMLE Forum Archives - USMLE Step 2 CK - GIT
GIT
bingousmle - 09-30-10 18:00
A 3-year-old child presents to your office for an evaluation of constipation. The mother notes that since birth and despite frequent use of stool softeners, the child has only about one stool per week. He does not have fecal soiling or diarrhea. He was born at term and without pregnancy complications. The child stayed an extra day in the hospital at birth because he
did not stool for 48 h, but has not been in the hospital since. Initial evaluationof this child should include
a. A child psychiatry evaluation for stool retention and parenting assistance
b. A barium enema and rectal manometry
c. Plain films of the abdomen
d. Dietary log and observation
e. Beginning oral antispasmotic medication
bingousmle - 09-30-10 18:00
A 3-year-old child presents to your office for an evaluation of constipation. The mother notes that since birth and despite frequent use of stool softeners, the child has only about one stool per week. He does not have fecal soiling or diarrhea. He was born at term and without pregnancy complications. The child stayed an extra day in the hospital at birth because he
did not stool for 48 h, but has not been in the hospital since. Initial evaluationof this child should include
a. A child psychiatry evaluation for stool retention and parenting assistance
b. A barium enema and rectal manometry
c. Plain films of the abdomen
d. Dietary log and observation
e. Beginning oral antispasmotic medication
The correct answer and explanation will be available after you answer.
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#1
Re: GIT babbu5508 - 10-11-10 09:28 My answer is: b.
b. A barium enema and rectal manometry....for hirschsprung's disease..absence of ganglion cells in intestinal wall
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