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Abdominal - Coggle Diagram

- - - - Hepatic: Cirrhosis
      - Cardiac: Cyanotic heart disease
      - GI: Coeliac/IBD
      - Pulmonary: Abscess/chronic pulmonary inflammation
    - - Hepatic: Encephalopathy
      - renal: Uraemic
      - Medciations: Valproate, phenytoin, benzos, etc
      - RESP: CO2 retention
  - - - Distention/ascites
      - Scars
    - - Lightly first, all 9 areas, assessing for guarding, rigidity, tenderness
      - Then more deeply, assessing for masses and organomegaly
      - Hepatomegaly
        
        Infective
        
        Infiltrative
        
        Neoplastic
        
        Non-neoplastic
        
        Glycogen storage disorders
        
        Congestive
        
        CCF
      - Splenomegaly
        
        Congestive
        
        Portal HTN
        
        Infiltrative
      - Bladder
      - Ballot kidneys
    - - If any masses or organomegaly, percuss to assess extent
      - Shifting dullness if appropriate
    - - Four quadrants, listening for bowel sounds
- - - - Laparotomy scar
        
        Post NEC
        
        Post volvulus
        
        Post malrotation
        
        Crohns/UC
      - Jejunostomy, or scar of
      - Gastrostomy, or scar of
      - Ileostomy, or scar of
      - Herniae, or scars of
      - Scar of pyloric stenosis
    - - IBD
        
        Crohns
        
        Ulcerative colitis
      - Coeliac
      - Cystic fibrosis
  - - - Transplant
      - Post nephrectomy
        
        Malignancy, eg Wilms
        
        Non-functional
        
        Multicystic, dysplastic
        
        Polycystic
        
        Problematic, eg uncontrolled hypertension
      - Mitrofanoff
    - - Haematuria
        
        Infection
        
        Vascular
        
        Nephritic syndrome
      - Hypertension
      - CKD
      - Nephrotic syndrome
  - - - Kocher's scar
        
        Liver transplant
        
        Biliary atresia/Post Kasai
    - - Medical causes of hepatomegaly
      - Hepatic causes of splenomegaly