Child health · UKMLA & AKT
Functional ileus
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise functional ileus — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- The single exam question tests recognition of intestinal malrotation with volvulus and its definitive management. Key differentials in the paediatric setting:
Bilious vomiting in a neonate = upper GI contrast study to exclude malrotation. If intestinal rotation confirmed → Ladd's procedure. If signs of vascular compromise → urgent laparotomy.
Passing meconium makes Hirschsprung disease unlikely. Malrotation can affect any age but classically presents in the first few days of life with bilious vomiting.
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