A 4-year-old child presented with recurrent chest infection and poor growth. On examination, chest auscultation revealed inspiratory crepitation with expiratory wheeze and finger c... A 4-year-old child presented with recurrent chest infection and poor growth. On examination, chest auscultation revealed inspiratory crepitation with expiratory wheeze and finger clubbing. Further exploration in the history revealed the presence of very offensive and greasy stools. Which of the following is expected to be further identified in the physical examination? A. Nasal polyp B. Gynecomastia C. Inguinal hernia D. Small joint swelling
Understand the Problem
The question describes a 4-year-old child presenting with various symptoms including recurrent chest infection, poor growth, and greasy stools. We need to determine which of the listed conditions is most likely to be further identified in a physical examination, given the presented symptoms.
Answer
A. Nasal polyp
The constellation of recurrent chest infections, poor growth, inspiratory crepitation with expiratory wheeze, finger clubbing, and offensive greasy stools indicates a high likelihood of Cystic Fibrosis. Nasal polyps are commonly associated with Cystic Fibrosis. Therefore, the answer is A. Nasal polyp.
Answer for screen readers
The constellation of recurrent chest infections, poor growth, inspiratory crepitation with expiratory wheeze, finger clubbing, and offensive greasy stools indicates a high likelihood of Cystic Fibrosis. Nasal polyps are commonly associated with Cystic Fibrosis. Therefore, the answer is A. Nasal polyp.
More Information
Nasal polyps are benign growths in the nasal passages and sinuses and are often associated with chronic inflammation, such as that seen in cystic fibrosis. They can cause nasal obstruction,decreased sense of smell, and sinus infections.
Tips
It's important to consider the most likely underlying condition based on the combination of symptoms, rather than focusing on individual findings in isolation.
Sources
- Nursing Care in Pediatric Respiratory Disease - repository.poltekkes-kaltim.ac.id
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