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 presents a case of a 4-year-old child with recurrent chest infections, poor growth, specific chest auscultation findings (inspiratory crepitation, expiratory wheeze), finger clubbing, and offensive, greasy stools. It asks what additional finding is most likely to be identified during the physical examination.
Answer
A. Nasal polyp
The most likely finding in the physical examination of a child with recurrent chest infections, poor growth, inspiratory crepitation, expiratory wheeze, finger clubbing, and offensive greasy stools is A. Nasal polyp.
Answer for screen readers
The most likely finding in the physical examination of a child with recurrent chest infections, poor growth, inspiratory crepitation, expiratory wheeze, finger clubbing, and offensive greasy stools is A. Nasal polyp.
More Information
The constellation of symptoms strongly suggests cystic fibrosis (CF). Nasal polyps are commonly associated with cystic fibrosis.
Tips
Consider the most common underlying condition that presents with the symptoms described.
Sources
- Nursing Care in Pediatric Respiratory Disease - repository.poltekkes-kaltim.ac.id
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