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CCC HD

CCC Hirschsprung Disease

QuestionAnswer
Hirschsprung Disease (HD) congenital aganglionic megacolon; mechanical obstruction caused by inadequate motility of part of the intestine
Incidences of HD 1/4 cases of neonatal obstruction; occurs in 1 in 5000; four times more common in males than females; may be acute, life-threatening or chronic
Pathophysiology of HD absence of ganglion cells, originating from the neural crest in both the anerbac myenteric and Meissner submucosal plexuses of the distal intestine, characterized by fever, abdominal distention, diarrhea, may be severe and lead to dehydration or sepsis
Diagnosis of HD diagnosed in the first few months of life, radiographs, full thickness rectal biopsy, and clinical manifestations include: distended abdomen, delay of meconium
Therapeutic Management of HD treatment is primarily surgery
Nursing Care of HD help parents adjust to congenital defect; foster infant-parent bonding; prepare them for surgical intervention; assist in colostomy care
Pre-operative care of HD improve malnourishment; measure abdominal circumference; provide information to parents/family
Post-operative care of HD stomal care, andominal post-op care
Dicharge Care of HD instruct in colostomy, advocate for family
Created by: RJost
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