Physical exam to help diagnose cystic fibrosisA doctor will perform a physical exam when he or she suspects that a
baby or child has
cystic fibrosis. Usually, symptoms of cystic fibrosis
appear during infancy or early childhood. During the exam, the doctor
may: - Listen to the child's heart and lungs with a
stethoscope to find out if mucus is clogging breathing
passages.
- Take the child's temperature, pulse, blood pressure,
height, and weight. If a child is not gaining weight at a normal rate and has
other symptoms, such as frequent lung infections or greasy stools, cystic
fibrosis may be suspected.
- Feel the stomach for an enlarged liver,
swollen belly, or firm lumps, particularly on the right side of the
body.
- Look at the fingers for thickening and rounding of the
fingertips (clubbing) or curving of the fingernails. This may mean the child
has respiratory problems.
- Look inside the nose for
nasal polyps.
A physical exam alone will not diagnose cystic fibrosis. The doctor
will also consider the child's risk factors and test results before making a
diagnosis of cystic fibrosis. If cystic fibrosis is first suspected in adulthood, it is usually
because symptoms are mild.
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