Child health · UKMLA & AKT
Functional ileus
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
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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