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Surgery General 19c26b9e

Hirschprung's disease true are :a) Sometimes found in adultb) Dilated segment involvedc) Auerbach's plexus absentd) Sometimes involve small intestine e) Bleeding PR is usual presentation

A
abc
B
ad
C
acd
D
bde
High-Yield Explanation
S. Das writes - "The symptoms appear within 3 days of birth and the presenting features are as follows: Constipation Abdominal distention" Nelson writes - "The clinical symptoms of Hirschprung disease usually begin at birth with the delayed passage of meconium." Loud borborygmi is heard due to intestinal obstruction. About stool Nelson writes - "The stools when passed may consist of small pelletes, may be ribbon-likel or may have fluid consistency; the large stools and fecal soiling of patients with functional constipation are absent." Also know a large fecal mass may be palpable in the left lower abdomen, but on rectal examination the rectum is usually empty of feces (feces in rectum are found in functional constipation).

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