Absent anal wink

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It is defined as delay or difficulty in defecation. Normal frequency and consistency of stool varies with children's age, and diet; there is also considerable variation from child to child. In general, signs of effort eg, straining in a young infant do not signify constipation. Infants only gradually develop the muscles to assist a bowel movement.
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Reflex Exam (Deep Tendon Reflexes)

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Evaluation and Treatment of Constipation in Children and Adolescents - American Family Physician

Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. See our User Agreement and Privacy Policy. See our Privacy Policy and User Agreement for details. Published on Jul 28, Chronic constipation in children.
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Weak Anal Wink Reflex ?

Table 1 lists red flag features for CES. Looking for urinary incontinence alone will miss CES. These symptoms are frequently not offered by the patient unless directly questioned.
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The reflex exam is fundamental to the neurological exam and important to locating upper versus lower motor neuron lesions. There are five deep tendon reflexes and a number of superficial and visceral reflexes covered here. We are not big believers in grading reflexes grading muscle power is much more useful. The 25 The 25 Visit the Abraham Verghese Interviews Dr.
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