MEDizzy - A nurse is taking the history from a parent of an infant

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Gastrointestinal Management

A nurse is taking the history from a parent of an infant diagnosed with Hirschsprung’s disease. Which statement is the parent most likely to make?

ExplanationThe common features of Hirschsprung’s disease are ribbon-like, foul- smelling stools, chronic constipation, and abdominal distention. These occur from the absence of ganglion cells in affected bowel segments and resulting lack of peristalsis and loss of internal sphincter relaxation. Projective vomiting may occur from abdominal distention. Swollen arms and legs are not characteristics of Hirschsprung’s disease. Weight loss and failure to thrive occurs due to malabsorption of nutrients. Recurrent evening crying with leg and fist clenching is more typical of colic, which is associated with increased peristalsis.