During the physical exam, the child's blood pressure is measured, and a stethoscope is used to listen to sounds made by the heart and blood flowing through the arteries.
The physician will listen to the child's chest with a stethoscope for specific sounds that indicate lung inflammation, such as moist rales and crackling, and wheezing, that indicate airway narrowing.
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He or she will also place the stethoscope over the child's abdomen; when renal vein thrombosis is present, the doctor may hear an abnormal "whooshing" as blood tries to flow through the blocked vessel.