What this deck covers
The Constipated Child: Functional Constipation and Hirschsprung Disease in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.
The twelve cases, in order
- The toddler who stands on tiptoe
- The question that finds the disease
- Proving the missing cells
- The calibre change on the film
- The fever after the pull-through
- Emptying the vault
- Holding the ground
- The soiling nobody chooses
- The tear that teaches withholding
- The baby who strains and screams
- Look at the back
- When the laxative is not the answer
What this deck teaches
- Rename the posture. Tiptoes and crossed legs are withholding, not straining – the diagnosis is made watching, not testing.
- Ask about the meconium. 48 hours is the number – delay means Hirschsprung until the biopsy speaks.
- The biopsy outranks the film. Absent ganglion cells prove it; the enema only maps it – and the narrow segment is the sick one.
- Teach the enterocolitis triad. Fever, distension, foul explosive stool – before or after surgery, washouts and antibiotics at once.
- Disimpact, then defend. Escalating macrogol until clear – and maintenance starts the same week, for months.
- Overflow is not naughtiness. A stretched rectum cannot feel – disimpact the child and dismantle the punishment.
Exam pearls from this deck
- The child on tiptoes is not trying to push the stool out – she is fighting to keep it in, and the whole treatment plan follows from reading that posture correctly.
- One question screens every constipated child in ten seconds – when did the meconium pass – and 48 hours is the number that changes the clinic letter into a referral.
The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.
More from this system: all gastroenterology illustrated case decks · gastroenterology board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.
