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Copyright ©The Author(s) 2022.
World J Clin Pediatr. Sep 9, 2022; 11(5): 385-404
Published online Sep 9, 2022. doi: 10.5409/wjcp.v11.i5.385
Table 4 Red flag features and their clinical relevance
Features and subfeatures
Hirschsprung disease
Delayed passage of meconium
Positive family history
Ribbon like stools
Significant abdominal distension
Child sexual abuse
Extreme fear of anal examination
Scars in the perianal region
Fissures in children > 2 yr of age
Neurological abnormalities
Hair tuft/hemangioma/scars on spine
Abnormal anal and cremasteric reflex
Deficiencies in lower limb neurology
Developmental delay
Other organic disorders
Bilious vomiting
Blood in stools
Failure to thrive
Malposition of the thyroid gland