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Diarrhea, intermittent, explosive
Hirschsprung disease
Bilious emesis, chronic constipation, fever, no meconium passed in first 24 hours of life, poor feeding; may coexist with trisomy 21; more common in boys
Abdominal distention or tenderness, jaundice
Abdominal radiography (with or without contrast enema), anorectal manometry, rectal suction biopsy
Scrotal or inguinal swelling
Incarcerated hernia
Abdominal pain, bilious emesis
Abdominal bulging or distention, acute abdomen
Ultrasonography
Testicular torsion
Acute onset of crying and pain
High-riding testicle, scrotal discoloration, tenderness to palpation
Ultrasonography
Tenderness to palpation in long bones, clavicles, or scalp
Child abuse
History of fall or trauma, lethargy, unwillingness to move extremities