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  #1  
Old 10-07-2014
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Default Hirschprung disease

Dear all,

I have a question regarding Hirschprung disease. It came up as I was preparing for CK2. I have got Kaplan's lectures on MTB series as long as their Q-bank. In their lectures, they say that the first diagnostic step for Hirschprung disease is abdominal XR. Not manometry. ALTHOUGH, while I was doing questions (and there was a question on that) choosing AXR was wrong and anal manometry was the right answer. Now I am kinda lost. What's the right answer? Anyone?

Thanks in advance.
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Old 10-11-2014
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Probably becouse the question is highly suspicious for Hirschprung. It is obvious (some times too obvious for the CK) that when you are well oriented to a diagnosis you should go straight to the point and permorm in this case first a less invasive test to justify an invasive one..

Sometimes is different becouse you may have no idea of the cause of constipation becouse the quiz is too vague.. and you should rule out urgent situations where an anal manometry will delay the diagnosis.
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Old 10-11-2014
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Quote:
Originally Posted by Giek View Post
Probably becouse the question is highly suspicious for Hirschprung. It is obvious (some times too obvious for the CK) that when you are well oriented to a diagnosis you should go straight to the point and permorm in this case first a less invasive test to justify an invasive one..

Sometimes is different becouse you may have no idea of the cause of constipation becouse the quiz is too vague.. and you should rule out urgent situations where an anal manometry will delay the diagnosis.
Thanks a lot, Giek. I guess it does make sense.
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