Hirschsprung disease.
The nurse should suspect Hirschsprung disease
when the newborn does not pass meconium in the first 24 hours after birth, and
has bilious vomiting or abdominal distention and feeding intolerance with
bilious aspirates and vomiting. Typical signs and symptoms of gastroenteritis
include diarrhea, nausea, vomiting, and abdominal pain. The characteristic GI
manifestation of UC is bloody diarrhea accompanied by crampy, typically
left-sided lower abdominal pain. Clinical manifestations of untreated SBS
include profuse watery diarrhea, malabsorption, and failure to thrive.
