Child health · UKMLA & AKT
Hirschsprung disease
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise hirschsprung disease — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Failure to pass meconium within 48 hours of birth - classic presentation; normal neonates pass meconium within 24-48 hours
- Abdominal distension - progressive, due to stool and gas accumulating proximal to obstruction
- Bilious vomiting - sign of distal intestinal obstruction
- Explosive passage of stool on rectal examination - highly characteristic; withdrawal of finger releases functional obstruction
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