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Tuesday, March 30, 2010

Pediatric Abdominal Examination

  1. Child is lying comfortably, alert, conscious, pink and not in pain.
  2. No jaundice, pallor, oral mucosa is moist and gum is healthy.
  3. No clubbing, capillary filling less then 2s. No stigmata of chronic liver disease. (Palmar erythema, flapping tremor, spider naevi, or gynecomastia)
  4. No pedal edema.
  5. Hernial orifices are intact.
  6. Abdomen is soft and non tender, scaphoid in shape, moving with respiration, no scars or dilated veins. No hepatomegaly, splenomegaly and the kidneys are not ballotable. No ascites. (Describe if there is a mass.) Bowel sounds present 3/min.
  7. The spines are normal and no sacral edema.
Eg; Malaria with splenomegaly.
Child is lying comfortably, alert, conscious, slightly pale and not in pain. There is pallor and slight tinge of jaundice. Oral mucosa is moist and gum is healthy. No clubbing, capillary filling time <2s, no stigmata of chronic liver disease. No pedal edema and hernial orifices are intact. Abdomen is soft and non tender, scaphoid in shape, moving with respiration, no scars or dilated veins. Liver is enlarged by 3 cm, smooth, firm, non tender and regular. Spleen is not enlarged, kidneys not ballotable and no ascites. The spines are normal and no sacral edema.

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