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Which therapeutic management treatment is implemented for children with Hirschsprung disease?

A.

Low-fiber diet

B.

Daily enemas

C.

Permanent colostomy

D.

Surgical removal of the aganglionic colon

Answer and Explanation

The Correct Answer is D

A. A low-fiber diet is not appropriate for Hirschsprung disease, as it can worsen constipation and other symptoms.

B. Daily enemas are typically used for symptom management, but they do not address the underlying cause of the disease.

C. While a colostomy may be performed in some cases, it is usually not permanent. Surgical removal of the aganglionic portion of the colon is the primary treatment.

D. The definitive treatment for Hirschsprung disease is the surgical removal of the aganglionic portion of the colon to allow normal bowel function.


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Related Questions

Correct Answer is D

Explanation

A. Oxygen saturation levels typically decrease, not elevate, in cystic fibrosis due to scarring and impairment of lung function, leading to difficulty with gas exchange.

B. Cystic fibrosis primarily affects the lungs and digestive system but does not directly impact blood glucose levels unless diabetes develops as a complication.

C. Cystic fibrosis affects mucus production in the lungs, but potassium levels are not typically affected in the way described. Potassium imbalance would be more related to renal function or other factors.

D. Cystic fibrosis affects the movement of sodium and water across cell membranes, leading to thickened mucus and an increased risk of electrolyte imbalances, such as low sodium levels (hyponatremia).

Correct Answer is C

Explanation

A. Encopresis refers to the inappropriate passage of stool, typically seen in children with chronic constipation. It is not associated with mechanical obstruction.

B. Pyloric stenosis involves a narrowing of the pyloric sphincter, leading to projectile vomiting rather than a mechanical obstruction of the intestines.

C. Hirschsprung's disease involves inadequate motility of part of the colon due to a lack of ganglion cells, leading to a mechanical obstruction.

D. Enterocolitis refers to inflammation of the intestines and is not a primary cause of mechanical obstruction.

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