George L. Adams, MD (moderator): Peter Hilger, MD, will describe two patients treated this summer for pulmonary complications as a result of advanced cystic fibrosis. Both patients were young women under the care of Warren J. Warwick, MD. Both have had repeated pulmonary problems and had not responded satisfactorily to the usual extensive pulmonary care given patients with cystic fibrosis. Today's discussion will address the problems associated with the management of the ear, nose, and throat (ENT) manifestations of patients with cystic fibrosis.
Dr Hilger: A 13-year-old girl was found to have cystic fibrosis at the age of 4 months and was admitted to the University of Minnesota Hospitals for the seventh time on June 17. On this occasion, admission was for treatment of increasing dyspnea, increased sputum production, fever, and vomiting. Recent hospitalizations were for weight loss and decreasing respiratory function in 1976, for inguinal and femoral hernia repair