Page 2 of 4: MCQs-Challenge 2006!!

sabkhan · Credits: 2782 My Scrapbook

Functional constipation is usually seen after 2 years of age while in this case the history of constipation starts from 6 month of age.
So how could the answer be FUNCTIONAL CONSTIPATION??
Any comments?

sangi · Credits: 1717 My Scrapbook

in congenital hypothyroidism also constipation usually starts from birth and because of decreased gut motility as a whole why the ampulla should be full of feaces and why should he pass bulky stools?

characteristic feature of functional conctipation is that ampulla is full of feaces as given in the options

so i think most appropriate awnser is functional constipation ,rest it is upto you people to decide

sabkhan · Credits: 2782 My Scrapbook

In congenital hypothroidism constipation may not necessarily start soon after birth,symptoms are subtle and become more evident weeks or months after birth.
But still there is something missing in the question like anyother physical feature or symptom of hypothyroidism.Thats why i placed a query in front of my answer.

In case of Functional constipation,its a problem that arises when attempts are made to toilet train a child,ususally seen after 2years of age.

superashdoc · Credits: 25954 My Scrapbook My Reading List 56 Books

Hey sangi about that Na of 10 even I was shocked!must be a missprint .Consider na as low and try!

skk2006 · Credits: 4615 My Scrapbook

Hi Sangi...But Hirschprung disease can also present at a later age..
Encopresis means faecal soiling...the question does not suggest that...

Large bulky stools are seen in Hirschprung..male child...

I think its Hirschprungs..
Tell me is there and PSYCHIATRIC involvement in Functional Constipation..??

I'm confused..

skk2006 · Credits: 4615 My Scrapbook

hi superashdoc..u want an explaination on how to figure out the diagnosis from the sodium and potassium levels is it? Let me know..

skk2006 · Credits: 4615 My Scrapbook

hi Sangi..SORRY!!! U r rite...I got my concepts a little confused...
In Hirschprung...yes they will present from birth..or later..usually a male child...but there is CHRONIC CONSTIPATION and the stools are described as small PELLETS....

Sorry for that confusion..

superashdoc · Credits: 25954 My Scrapbook My Reading List 56 Books

Hey that Na is 10meq/l even in another book on manipal papers.

superashdoc · Credits: 25954 My Scrapbook My Reading List 56 Books

the ans given for the question is functional constipation!

sangi · Credits: 1717 My Scrapbook

hi everybody sham ki sabha main ek baar phir aapka swagat hai

1. hyponatremia with hyperkalemia along eith the history of vomiting and dehydration is a classical feature of CAH so i dont think there should be any doubt regardind that. superashdoc what is the confusion regarding this please let me know

2. thumb rule is that if ampulla is full of feaces hirschsprung is ruled out so no more confusion regarding this question please

3. i have already given the ref. regarding bucther thigh, please give your ref dear superashdoc

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