Saturday, September 26, 2015

Causes of Delayed Passage Of Meconium In Newborns


Delayed meconium passage occurs in which of the following conditions?

A) Encopresis.
B) Hirschsprung disease.
C) Cystic fibrosis.
D) Hyperthyroidism.
E) B and C.

Answer;



The correct answer is “E.”

Discussion: Seventy percent of newborns will pass meconium within the first 12 hours of life. More than 90% of newborns pass meconium within the first 24 hours. In those with delayed passage of meconium (generally defined as >24 hours of life), consider :

  • Hirschsprung disease, 
  • Cystic fibrosis,
  • Hypothyroidism, 
  • Sepsis, 
  • Intrauterine narcotic exposure, or
  • Imperforate anus.

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