Hirschsprung's Disease: Symptoms and Treatment

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Questions and Answers

What is the underlying cause of Hirschsprung's disease?

  • Lack of nerve cells in the colon (correct)
  • Excessive nerve cells in the colon
  • Overproduction of meconium
  • Inflammation of the small intestine

What is a primary consequence of Hirschsprung's disease due to the lack of nerve cells?

  • Decreased appetite
  • Inhibited peristalsis (correct)
  • Increased peristalsis
  • Normal digestion

A newborn with Hirschsprung's disease is MOST likely to exhibit which symptom?

  • Increased appetite
  • Failure to pass meconium within the first 24 hours (correct)
  • Passing meconium within the first 24 hours
  • Weight gain

What type of stool is commonly associated with Hirschsprung's disease?

<p>Ribbon-like, watery stools (D)</p> Signup and view all the answers

What is a common gastrointestinal symptom observed in children with Hirschsprung's disease?

<p>Chronic constipation (D)</p> Signup and view all the answers

What is a typical physical characteristic of a child with Hirschsprung's disease?

<p>Protuberant abdomen (A)</p> Signup and view all the answers

What is the purpose of a rectal biopsy in diagnosing Hirschsprung's disease?

<p>To identify missing nerve cells (B)</p> Signup and view all the answers

What is the primary treatment intervention for Hirschsprung's disease?

<p>Surgery (D)</p> Signup and view all the answers

What does 'NPO' mean in the context of nursing interventions for Hirschsprung's disease?

<p>Nothing per os (nothing by mouth) (C)</p> Signup and view all the answers

What is an important aspect of parental education after surgery for Hirschsprung's disease, if applicable?

<p>Ostomy care (C)</p> Signup and view all the answers

Flashcards

Hirschsprung's Disease

A congenital condition where there is a lack of nerves in the colon, prohibiting peristalsis and leading to intestinal blockage.

Meconium Stool

Failure to pass this type of stool in the first 24 hours is a symptom of Hirschsprung's Disease.

Rectal Biopsy

A diagnostic procedure involving the removal and examination of a small piece of tissue from the rectum to confirm the absence of nerve cells in Hirschsprung's disease.

Nursing Interventions for Hirschsprung's

Common interventions include NPO with NG tube, IV hydration, pain management, prophylactic antibiotics, bowel prep and ostomy education.

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Hirschsprung's Disease Treatment

Surgical removal of the affected portion of the colon to restore normal bowel function in Hirschsprung's disease.

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Study Notes

  • Hirschsprung's Disease is a congenital condition characterized by a lack of nerves in the colon, prohibiting peristalsis and leading to intestinal blockage.

Symptoms

  • Failure to pass meconium stool in the first 24 hours.
  • Passage of ribbon-like, watery stools.
  • Chronic constipation.
  • Abdominal distention.
  • Bilious vomiting.
  • Failure to thrive, resulting in a very thin child with a protuberant abdomen.

Diagnosis

  • Diagnosed via rectal biopsy.

Treatment

  • Requires surgery.

Nursing Interventions

  • Maintain NPO status and insert NG Tube
  • Provide IV hydration.
  • Manage pain.
  • Administer prophylactic antibiotics.
  • Perform bowel prep.
  • Educate parents on ostomy care, if applicable.

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