Child health · UKMLA & AKT
Umbilical hernia
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
- 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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