Cystic fibrosis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with cystic fibrosis are usually well-appearing. | *Patients with cystic fibrosis are usually well-appearing. | ||
Revision as of 17:32, 7 March 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
Physical Examination
Appearance of the Patient
- Patients with cystic fibrosis are usually well-appearing.
Vital Signs
Skin
- Skin examination of patients with cystic fibrosis is usually normal.
- Skin rashes (due to zinc defficiency) may present.[3]
HEENT
- Nasal polyps[4]
- Signs of rhinosinusitis may include:[5][6]
- Purulent nasal discharge
- Mucosal edema
- Inferior turbinate hypertrophy
- Pain and tenderness on palpation of the involved sinus
Neck
- Neck examination of patients with cystic fibrosis is usually normal.
Lungs
Findings of lungs examination may include:[7][8]
- Asymmetric chest expansion / Decreased chest expansion
- Lungs are hyperresonant
- Wheeze or crackles
- Productive cough with mucoid or purulent sputum)
Heart
- Cardiovascular examination of patients with cystic fibrosis is usually normal.
Abdomen
- Abdominal distention
- Abdominal tenderness in the right/left upper/lower abdominal quadrant
- Rebound tenderness (positive Blumberg sign)
- Guarding may be present
Genitourinary
- Genitourinary examination of patients with cystic fibrosis is usually normal.
Neuromuscular
- Neuromuscular examination of patients with cystic fibrosis is usually normal.
Extremities
- Digital clubbing [3]
References
- ↑ Browning IB, D'Alonzo GE, Tobin MJ (June 1990). "Importance of respiratory rate as an indicator of respiratory dysfunction in patients with cystic fibrosis". Chest. 97 (6): 1317–21. PMID 2347215.
- ↑ Aziz DA, Billoo AG, Qureshi A, Khalid M, Kirmani S (2017). "Clinical and laboratory profile of children with Cystic Fibrosis: Experience of a tertiary care center in Pakistan". Pak J Med Sci. 33 (3): 554–559. doi:10.12669/pjms.333.12188. PMC 5510102. PMID 28811770.
- ↑ 3.0 3.1 Moskowitz SM, Chmiel JF, Sternen DL, Cheng E, Gibson RL, Marshall SG, Cutting GR (December 2008). "Clinical practice and genetic counseling for cystic fibrosis and CFTR-related disorders". Genet. Med. 10 (12): 851–68. doi:10.1097/GIM.0b013e31818e55a2. PMC 2810953. PMID 19092437.
- ↑ Mohd Slim MA, Dick D, Trimble K, McKee G (June 2016). "Paediatric nasal polyps in cystic fibrosis". BMJ Case Rep. 2016. doi:10.1136/bcr-2016-214467. PMID 27329094.
- ↑ Kang SH, Dalcin Pde T, Piltcher OB, Migliavacca Rde O (2015). "Chronic rhinosinusitis and nasal polyposis in cystic fibrosis: update on diagnosis and treatment". J Bras Pneumol. 41 (1): 65–76. doi:10.1590/S1806-37132015000100009. PMC 4350827. PMID 25750676.
- ↑ Le C, McCrary HC, Chang E (2016). "Cystic Fibrosis Sinusitis". Adv. Otorhinolaryngol. 79: 29–37. doi:10.1159/000444959. PMID 27466844.
- ↑ Aziz DA, Billoo AG, Qureshi A, Khalid M, Kirmani S (2017). "Clinical and laboratory profile of children with Cystic Fibrosis: Experience of a tertiary care center in Pakistan". Pak J Med Sci. 33 (3): 554–559. doi:10.12669/pjms.333.12188. PMC 5510102. PMID 28811770.
- ↑ Salamone I, Mondello B, Lucanto MC, Cristadoro S, Lombardo M, Barone M (March 2017). "Bronchial tree-shaped mucous plug in cystic fibrosis: imaging-guided management". Respirol Case Rep. 5 (2): e00214. doi:10.1002/rcr2.214. PMID 28096997.