Nasal polyps (& CF)

The physical examination of a child who has nasal polyps can be both rewarding and frustrating. If seen, the polyps appear as a "bag of jelly" or a "grape" obstructing the nasal passage. Unfortunately, they tend to be posterior and cannot be easily visualized with the use of an otoscope in the patient's nasal passage. Accordingly, affected patients may need referral to an ENT physician or limited computed tomography of the sinuses for diagnosis of the polyps.

References:
Slavin RG. Nasal polyps and sinusitis. In: Middleton E Jr, Reed CE,
Ellis EF, Adkinson NF Jr, Yunginger JW, Busse WW, eds. Allergy:
Principles and Practice. 5th ed. St Louis, Mo: Mosby-Year Book, Inc;
1998:1024-1035
Slavin RG. Nasal polyps and sinusitis. JAMA. 1997;278:1849-1854
Sly M. Allergic rhinitis. In: Behrman RE, Kliegman RM, Jenson HB, eds.
Nelson Textbook of Pediatrics. 16th ed. Philadelphia, Pa: WB Saunders
Co; 2000:662-663