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학습 자료 둘러보기 →The most direct sign of an imperforate anus is the absence of a normal anal opening on visual inspection. This may appear as a thin membrane covering the anal dimple or no opening at all.
A thorough perineal inspection must be performed on every newborn within the first 24 hours. Failure to pass meconium within this timeframe warrants immediate investigation for anorectal malformations.
Do not rely on the passage of meconium from the urethra or vagina as the primary sign. This indicates a fistula, a secondary finding. The primary assessment is direct visualization of the anal area to confirm patency.
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