The first steps in diagnosis are a medical history and physical examination. Important clues during history include weight loss, diarrhea and<unk>  pain. During physical examination, the clinician must identify the location of the<unk> , as well as characterize its location (usually specified in terms of quadrants). The<unk>  should be assessed for whether it is rigid or mobile. It should also be characterized for pulse or peristalsis, as these would help in further identifying the<unk> . Routine blood tests are usually the next step in diagnosis after a thorough medical history and physical examination. They should include a full blood count, blood urea nitrogen (BUN), creatinine, and liver function tests such as albumin, international normalized ratio (INR), partial thromboplastin time (PTT), serum amylase and total bilirubin (TBIL). If late-stage liver disease is suspected, then a serum glucose may be appropriate.
Abdominal mass
Blood in stool
Cervical enlargement
Rectal discharge
Abdominal distension
Nipple discharge
Boggy uterus
Clitoromegaly