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Bowel Movement Case Study

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During a normal bowel movement, stool passes from the large intestine to the rectum, and then to the anus. Nerves and muscles help control when the bowel movement occurs and help the child to sense the need for a bowel movement. Anorectal malformations cause abnormalities in the normal bowel movement process. A child may have a difficult, painful time passing a stool within day or two after birth and is characterized by a swollen belly. Also in some cases there is stool passing in another opening, for example, urethra in boys and vagina in girls. In most cases, the child is not being able to have a bowel movement at all. Or stool can enter the urinary tract instead of the anus, causing urinary tract infections and sepsis in the 4th day …show more content…

the presence of a presacral mass. At birth, a history of excess oral secretions and central cyanosis implies the potential presence of VACTERL (Vertebral, Anorectal, Cardiac, Tracheoesophageal, Renal and Limbs particularly radial) anomalies. So full examination of the spine, the pelvis, the esophagus, and the cardiovascular system to ensure a life-threatening abnormality has not been overlooked because of an absent rectum. Check for the normal position and size of the anus: In a girl the size should be 1/3 of the distance from the coccyx to the fourchette. In case the anus is present and in the correct position then the passage of a soft catheter greater than 2 cm into the rectum and the presence of meconium passage rules out atresia. The normal size of the anus is described as 1.3 + (3 × birth weight in kg) in millimeters. Check for the buttock groove: The parasagittal muscle fibers are located on both sides at the midline in normal anal position. These fibers give rise for the midline buttock groove. The higher the fistula in the urethra then fewer the parasagittal fibers are found and so the perineum appears more flat. In the presence of an anal membrane the anus will be in the normal position but a thin epithelial lining is present overlying the opening. Meconium can be seen bulging behind the

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Fractured Clavicle Occurs in during difficult birth due to unequal movement of the upper extremities Abdomen: Normal Finding A. Shape Round, dome shaped and nondistended B. Umbilical Cord Two arteries, one vein, whitish gray color, odorless C. Bowel sounds Present 1-2 hours after birth Abnormal Abdomen: Definition A. Distension: Fullness of the abdomen above the umbilicus caused by ruptured viscus or tumors. B. Imperforate Anus Blockage of the anus or missing of the anus C. Meconium Ileus Bowel obstruction caused by thick abnormal meconium Genitalia: (complete female and male) Normal finding or Definition A. Female (labia, clitoris, meatus, edema, pseudo- menstruation) 2pts Labia majora covers the labia minora and clitoris and are usually edematous

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Blood tests may be done. X-rays to tell a child’s maturity may be done. TREATMENT No medical treatment is needed. It is important to reassure your child that normal growth and sexual development will happen with time.

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The exact same defect permits the spleen to wander widely and may lead to splenic torsion. Fortunately such bold defects are extremely rare. When there's an abnormality in the evolution of the mesoderm, it is going to lead to defective evolution of the urinary system, specifically the urinary tract, along with the severe laxity of the infant's abdomen. The prognosis for this problem is extremely variable. In general, it will greatly depend on the functioning of the patient's renal system.

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The novel Inferno by Dan Brown is the third book of his series. The first novel being The Da Vinci Code and the novel before Inferno was Angels and Demons. The book Inferno is full of character twists and cliffhangers from chapter to chapter. The main character Langdon has limited time to figure out riddles and puzzles before a deadly plague is released into the world. Brown does a wonderful job giving the detail of the places he writes about and explaining the setting.

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Development Pelvic anatomy including organs of the female reproductive system The vaginal plate is a precursor to the inferior portion of the vagina; it is the growth of tissue that gives rise to the formation of the vagina, and is located where the solid tips of the paramesonephric ducts (Müllerian ducts) enter the dorsal wall of the urogenital sinus as the sinus tubercle. The plate's growth is unrestrained, as it significantly separates the cervix and the urogenital sinus; eventually, the central cells of the plate break down to form the vaginal lumen.[9] Until twenty to twenty-four weeks of pregnancy, the vagina is not fully formed as a canal. If it fails to fully develop, various septae can form, which may cause obstruction of the outflow

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A lot of the incontinence is caused majorly by stress while it is also proven that it is caused by the increased pressure from the fetus that is growing and the pressure it is putting on the bladder. The growing fetus puts pressure on majority of the abdominal and lower abdominal region of a woman 's body. The pressure may temporarily cause leakage during pregnancy. Not only the pressure of the fetus, there are associations of low pelvic floor muscle strength with stress urinary incontinence during pregnancy and postpartum. Many state that the prevalence of urinary incontinence rises during pregnancy and declines after childbirth.

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The rectum is an 8 inch long passage that connects the large intestine and the anus. It is the rectum’s job to store the stool and let the body know that there is a stool that is needed to be let out. When there is gas or stool that is needed to be released the sensors send a message to your brain and the brain decides whether the stool can be released. If the stool can be released the, sphincters relax and the rectum contracts, which then

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Student: Kirk McCalmon ID: 00260578 Date Submitted: June 29, 2015 Semester: 05 Interview Conducted: June 23, 2015 Statement of Reliability: The patient is a 1 year old infant (W020) who is admitted at the request of their pediatrician for persistent vomiting and diarrhea. The patient's mother is the source of the history and considered to be a reliable source of information. Chief Complaint/Concern: "I'm worried my child can't stop vomiting and using the toilet " History of Present Illness: W020 is a 1 year old Afro-Caribbean female (W020) who is here today with her mother for a follow up visit due to a history of gastroenteritis for two days. W020 presented to Princess Margaret Emergency department on (6/11/2015) for persistent vomiting

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This will seen in the baby once it starts to grow and the patterns set in. The only problem with the adults is that, the regular pattern of the bowel movements takes a hit after a point and things become out of rhythm. This is the reason why adult diapers are made more absorbent than the baby diapers. Baby diapers can be changed easily by observing their mannerisms.

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The presentation is usually in the form of vomiting and abdominal pain which can mimic necrotizing enterocolitis and may lead to delay in diagnosis. This happens because in intussusception peristalsis is disturbed and lymphatic and venous obstruction occurs causing ischemia. In term neonates, symptoms are very similar to those of other causes of neonatal intestinal obstruction3 while in preterm neonates they are very similar to those of Necrotizing

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DIARRHEA Definition and Overview Diarrhea is a medical condition where the patient has at least three loose or liquid bowel movements a day. It is one of the most common diseases experienced by any age group, and is especially common in children. The most significant complication of diarrhea is dehydration. Dehydration is a condition resulting from massive loss of body water and electrolytes. When diarrhea ensues, body fluid and electrolytes are eliminated by the body before they are adequately absorbed.

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