15.09 Paeds

15.09 GI disorders in Paediatrics / Child Health [PDF link]: Congenital diaphragmatic hernia (CDH), Inguinal hernia, Imperforate anus, Mid-gut malrotation, Gastroschisis & omphalocele, Meckel's diverticulum, Infant feeding problems (incl cow’s milk protein allergy/intolerance (CMPA/CMPI), GORD in children, infantile colic)

Internal links

  • 03.08 for more on hernias


Cow’s milk protein allergy

  • Useful detailed resource by Allergy UK

  • Milk ladder – more for those with non-IgE mediated allergy. See Milestone 7 on this page.

    • Stage 1. Baked biscuits containing small amount of milk

    • Stage 2. Baked other products (eg, cake, bread)

    • Stage 3. Cooked milk products (eg pasta with cheese)

    • Stage 4. Fresh or raw milk


While on the topic of things coming out from the anterior abdominal wall, see also Sister Mary Joseph’s nodule

  • Metastatic lesion to the umbilicus, most commonly from gastric cancer.

  • Nice picture – Albano EA, Kanter J. Sister Mary Joseph’s Nodule. N Engl J Med 2005;352:1913–1913. https://doi.org/10.1056/NEJMicm040708.

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