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ABDOMINAL

Observation
 
Hands
 Palmar erythemia
 Clubbing
 Asterixis
 Needle holes
 Spider navae
 
Face
 Parotid Swelling (alcohol abuse)
 Jaundice
 Pallor
 Fetor

 Abdomen
 Rigidity
 Scars
 Distension
 Pulsation
  
Palpation + Percussion
 Ask for pain
(rebound tenderness if pain)
- Light
  -Deep (tenderness, masses, muscle tone)
 Liver
Palpate with expiration, find borders with percussion
 Spleen
If palpable on inspiration then enlarged
 Kidneys
Balottable, palpate for tenderness posterior if not percus with fist
  Pitting edema of sacrum
 Bladder
Percuss
 Check Ascites (shifting dullness)
  
Ascultate
 Bowel sounds
 Abdominal aorta arterial bruit
 Succussion Splash
 Edema ankles
 

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