Cystic fibrosis physical examination: Difference between revisions
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===Skin=== | ===Skin=== | ||
* Skin examination of patients with cystic fibrosis is usually normal. | * Skin examination of patients with cystic fibrosis is usually normal. | ||
* Skin rashes (due to zinc defficiency) and skin dryness (due to vitamin A defficiency) may present.<ref name="pmid190924372">{{cite journal |vauthors=Moskowitz SM, Chmiel JF, Sternen DL, Cheng E, Gibson RL, Marshall SG, Cutting GR |title=Clinical practice and genetic counseling for cystic fibrosis and CFTR-related disorders |journal=Genet. Med. |volume=10 |issue=12 |pages=851–68 |date=December 2008 |pmid=19092437 |pmc=2810953 |doi=10.1097/GIM.0b013e31818e55a2 |url=}}</ref> | * Skin rashes (due to zinc defficiency) and skin dryness (due to vitamin A defficiency) may present.<ref name="pmid190924372">{{cite journal |vauthors=Moskowitz SM, Chmiel JF, Sternen DL, Cheng E, Gibson RL, Marshall SG, Cutting GR |title=Clinical practice and genetic counseling for cystic fibrosis and CFTR-related disorders |journal=Genet. Med. |volume=10 |issue=12 |pages=851–68 |date=December 2008 |pmid=19092437 |pmc=2810953 |doi=10.1097/GIM.0b013e31818e55a2 |url=}}</ref><ref name="urlCystic Fibrosis - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022782/ |title=Cystic Fibrosis - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref> | ||
===HEENT=== | ===HEENT=== | ||
Revision as of 18:29, 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) and skin dryness (due to vitamin A defficiency) may present.[3][4]
HEENT
- Nasal polyps[5]
- Signs of rhinosinusitis may include:[6][7]
- 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:[8][9]
- 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[10]
- 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.
- ↑ "Cystic Fibrosis - National Library of Medicine - PubMed Health".
- ↑ 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.
- ↑ Tabori H, Arnold C, Jaudszus A, Mentzel HJ, Renz DM, Reinsch S, Lorenz M, Michl R, Gerber A, Lehmann T, Mainz JG (2017). "Abdominal symptoms in cystic fibrosis and their relation to genotype, history, clinical and laboratory findings". PLoS ONE. 12 (5): e0174463. doi:10.1371/journal.pone.0174463. PMC 5417419. PMID 28472055.