GENERAL LOOK:

IN PAIN, OR NOT, LOOKING ILL

growth parameters

vital signs

pallor

jaundice

HAND EXAM:

clubbing

palmar erythema, nail changes..

MOUTH EXAM:

ulcers, glossitis

ADEQUATE EXPOSURE:- ASK PERMISSION FROM THE CHILD OR THE CAREGIVER TO EXPOSE THE ABDOMEN APPROPRIATELY

POSITION:- OBSERVATION IN CORRECT POSITION [SUPINE AND FROM THE FOOT OF THE BED OR THE RIGHT SIDE]

GENERAL:-

1. distension and shape, moves with respiration
2. scars, dilated veins, hyperpigmentation, abnormal pulsation
3. position and shape of umbilicus

PALPATION:-

*self-introduction and taking permission