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 Read more

Understand the Problem

The question describes a 4-year-old child presenting with symptoms suggestive of a specific underlying condition. The question requires identifying the most likely finding during a physical examination, given the presented symptoms: recurrent chest infection, poor growth, inspiratory crepitation, expiratory wheeze, finger clubbing, and offensive, greasy stools. This requires knowledge of pediatric conditions and their associated physical findings.

More Information

The other options are less directly associated with the typical presentation of cystic fibrosis.

• Gynecomastia (enlargement of breast tissue in males) is usually related to hormonal imbalances.
• Inguinal hernia is a common condition, but not specifically linked to CF.
• Small joint swelling might suggest arthritis, which isn't a primary feature of CF, although some individuals can develop CF-related arthritis.

Tips

When answering clinical questions, always consider the most likely diagnosis based on the presenting symptoms and signs. In this case, the combination of respiratory and gastrointestinal issues points towards CF.