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Improper Imperforate Anus Check?

During a routine exam for a four or five year old, are there any reasons for a pediatrician to perform an imperforate anus check?
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1145691 tn?1291478338
I didn't know what an imperforate anus was, so I looked it up. From what I read, it's something that's diagnosed at birth..
Doesn't sound right to me..
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13167 tn?1327194124
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