Signs of chronic renal failure (anaemia, fluid overload)?
Examine for hypertension and check for end-organ damage (e.g. retinopathy, left ventricular hypertrophy).
Are there bilateral palpable kidneys? (Classically ballottable, irregular and bilateral [though may be difficult to palpate or only present unilaterally].)
Is there an enlarged cystic liver? (Liver failure is rare.)
Examine for mitral valve prolapse, aortic regurgitation and mitral regurgitation.
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