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Constipation-related straining may be the cause of the lesion. How would you proceed?
Domperidone is better tolerated by some patients than metoclopramide. Before a switch, however, this test must be performed.
The 9-year-old was admitted after 1 day of symptoms; he had no fever, diarrhea, constipation, dysuria, or rash. More details here. What's your diagnosis?