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Hospital pediatrics. Search groups to rule out cystic fibrosis (most important)

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52. Cystic Fibrosis Exclusion Search Groups

The following groups are distinguished. In infancy:

1) recurrent or chronic respiratory symptoms (cough, shortness of breath);

2) recurrent or chronic pneumonia;

3) lag in physical development;

4) unformed, profuse, oily and fetid stools;

5) chronic diarrhea;

6) prolonged neonatal jaundice;

8) heat stroke or dehydration in hot weather;

9) chronic hypoelectrolytemia;

10) family history data on the death of children in the first year of life or the presence of sibs with similar clinical manifestations;

11) hypoproteinemia/edema.

Search group for the exclusion of cystic fibrosis in preschool children:

1) persistent cough with or without purulent sputum;

2) diagnostically unclear recurrent or chronic shortness of breath;

3) lag in body weight and height;

4) prolapse of the rectum;

6) chronic diarrhea;

7) a symptom of "drum sticks";

8) salt crystals on the skin;

9) hypotonic dehydration;

10) hypoelectrolytemia and metabolic alkalosis;

11) hepatomegaly or diagnostically unclear liver dysfunction.

Search group to rule out cystic fibrosis in school-aged children:

1) chronic respiratory symptoms of unclear etiology;

2) pseudomonas aeruginosa in sputum;

3) chronic sinusitis;

4) nasal polyposis;

5) bronchiectasis;

6) a symptom of "drum sticks";

7) chronic diarrhea;

8) syndrome of distal intestinal obstruction;

9) pancreatitis;

10) prolapse of the rectum;

11) diabetes mellitus in combination with respiratory symptoms;

12) hepatomegaly;

13) liver disease of unknown etiology.

Search group for ruling out cystic fibrosis in adolescents and adults:

1) purulent lung disease of unclear etiology;

2) a symptom of "drum sticks";

3) pancreatitis;

4) syndrome of distal intestinal obstruction;

5) diabetes mellitus in combination with respiratory symptoms;

6) signs of liver cirrhosis and portal hypertension;

7) stunting;

8) delayed sexual development;

9) sterility with azoospermia in males;

10) reduced fertility in females.

Author: Pavlova N.V.

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