Size and contour, visible peristalsis, respiratory movements, veins (distension, direction of flow), umbilicus, hernia, musculature, tenderness and rigidity, tympany, shifting dullness, tenderness, rebound tenderness, pulsation, palpable organs or masses (size, shape, position, mobility), fluid wave, reflexes, femoral pulsations, bowel sounds. If the liver is palpable below the right costal margin, its total span must be recorded. A deep abdomen palpation must be done on every child.

Simon S Rabinowitz, MD, PhD, Vice Chairman, Clinical Practice Development, Pediatric Gastroenterology & Vania L Kasper, MD Clinical Assistant Instructor, Department of Pediatrics At State University of New York Downstate College of Medicine