What causes distended abdomen in a 11 month old?
Patient: my 11 month old daughter has over the last 3 weeks got a large smooth non tender liver, her abdomen is distorted by it.She is otherwise well except over last few days she occasionally appears to posset some food again. She was given azithromycin for a presumed mycoplasma infection for 2 months atopped in may and had a tonsillitis in may with high fevers for 10 days. At present she is well but this mass is very concerning. We are seeing a paediatrician soon do you have any thoughts. Doctor: in infancy liver is normally palpable. its pathological only if the liver span or its actual size is increased. as u said mycoplasma infection which can cause respiratory symptoms can cause pushed down liver which can be why its palpable. so unless there is visible jaundice or high colored stools or clay stools you need not worry. repeated vomiting and loss of appetite can be symptoms of hepatitis. i would suggest a ultrasound abdomen and liver function tests to rule out liver pathology