Mild Digital Clubbing in Pediatrics — 3yo Child | Allergy & Immunology | SMLE Q#17391
SMLE Question #17391
Pediatrics
Allergy & Immunology
Objective: OBJ-PED-ALLERGY-ANAPHYLAXIS-VACCINE
Last updated: February 2026
A 3-year-old boy is evaluated for recurrent infections. In the past 12 months, he has had four episodes of acute otitis media and two episodes of pneumonia, including one hospitalization. His parents report frequent loose, foul-smelling stools and poor weight gain. Examination shows a thin child with mild digital clubbing and scattered basal crackles; there is no hepatosplenomegaly or eczema. What is the most appropriate next diagnostic investigation?
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