Child health · UKMLA & AKT
Umbilical hernia
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise umbilical hernia — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Soft, painless, reducible swelling at the umbilicus - most prominent when infant cries/strains
- Cough impulse present; gurgling on reduction if bowel in sac
- Asymptomatic in most children - typically parental concern
- Irreducibility, tenderness, erythema - suggest incarceration/strangulation; urgent assessment required
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