An infant with constipation and a consistently empty rectum may need evaluation for:
a. sexual abuse.
b. Hirschsprung disease.
c. rectal abscess.
d. intestinal parasites.
B
A consistently empty rectum in the presence of constipation is a clue to the diagnosis of Hirsch-sprung disease. Other presentations include the failure to pass meconium in the first 24 hours. along with a gradual onset of abdominal distention and vomiting.
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