Do a full adult abdominal examination with the following additional components.

General

• Dysmorphic features
• Colour (pallor, mottling) 
• Alertness and interest in surroundings
• Nutritional status

Hydration status

1. Capillary refill
2. Heart rate
3. Mucous membranes
4. Skin turgor
5. Wet nappies (depending on age)

Points

• Look for Grey-Turner’s and Cullen’s signs
• Liver can be up to 2cm below costal margin in children
• Faecal loading may be felt in umbilical region and LIF

To complete

• Observations
• Growth charts

Learn presentations of neonatal gastrointestinal diseases