Cystic fibrosis physical examination

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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

  • Physical examination of patients with [disease name] is usually remarkable for:[finding 1], [finding 2], and [finding 3].
  • The presence of [finding(s)] on physical examination is diagnostic of [disease name].
  • The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Appearance of the Patient

  • Patients with cystic fibrosis are usually well-appearing.

Vital Signs

  • Tachypnea[1]
  • High blood pressure [2]

Skin

  • Skin examination of patients with cystic fibrosis is usually normal.
  • Skin rashes (due to zinc defficiency) may present.[3]

HEENT

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

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

  1. 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.
  2. 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. 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.
  4. 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.
  5. 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.
  6. Le C, McCrary HC, Chang E (2016). "Cystic Fibrosis Sinusitis". Adv. Otorhinolaryngol. 79: 29–37. doi:10.1159/000444959. PMID 27466844.
  7. 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.
  8. 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.

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