Cystic fibrosis physical examination

In cystic fibrosis abdominal distension and digital clubbing may be detected. In HEENT examination there are nasal polyps and signs of rhinosinusitis (purulent nasal discharge, mucosal edema, turbinate hypertrophy and tenderness on palpitation of the sinuses). Lung examination may present hyperresonant lungs, wheeze or crackles and productive cough with mucoid or purulent sputum.

• Patients with cystic fibrosis are usually well-appearing.

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

• Skin examination of patients with cystic fibrosis is usually normal.
• Skin rashes (due to zinc deficiency) and skin dryness (due to vitamin A deficiency) may present.^[3][4]

• 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 examination of patients with cystic fibrosis is usually normal.

Findings of lungs examination may include:^[8][9]

• Lungs are hyperresonant
• Wheeze or crackles
• Productive cough with mucoid or purulent sputum

• Cardiovascular examination of patients with cystic fibrosis is usually normal.

• Abdominal distention^[10]

• Genitourinary examination of patients with cystic fibrosis is usually normal.

• Neuromuscular examination of patients with cystic fibrosis is usually normal.

• Digital clubbing^[3]

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