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Hirschsprung's Disease

Background/Epidemiology

  • Incidence ~1:5000 live births/year; much more common in males (4:1); degree of genetic inheritability (increased risk if sibling is affected)
  • Characterised by the absence of ganglion cells in the distal bowel, usually beginning at the internal sphincter and extending proximally…
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GI

Constipation in Children

Background/Epidemiology

  • Prevalence ranges from 1-30%; majority (90-95%) is functional (i.e. no organic cause)

History and Examination

  • In a child <1 year
    • NB normal stool frequency averages around 4/day in the first week of life to 2/day at 1 year. ¬†
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GI

Intussusception

Background/Pathophysiology

  • Intussusception is the invagination of one segment of the intestine within a more distal segment
    • usually ileum invaginating through the ileocaecal valve into the caecum…
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GI

Intestinal Malrotation and Volvulus

Background/Epidemiology

  • Intestinal malrotation occurs because of failure of the normal sequence of rotation and fixation of the bowel. ¬†Duodenal obstruction can occur due to external compression from bands leading from the caecum to the lateral abdominal wall (Ladd’s bands) or from small bowel volvulus …
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GI

FASHIONS OF THE DECADE: The 1940s

The 1940s are what I would like to call The War Decade, since much of the news of that time had been dominated by WW II; There were rations everywhere: Tires & other kinds of rubber, sugar, dairy, coffee, EVERYTHING! 207 more words

Fashion