Diagnosis of Cystic Fibrosis Not long ago a diagnosis of cystic fibrosis carried with it in most cases the probability of death within a very few years. The improvement in life expectancy now is largely the result of active treatment and the introduction of more effective antibiotics. There is also strong evidence' that early diagnosis has improved the chances of survival. Early memories die hard, and for many a doctor the term cystic fibrosis recalls a wasted, pot-bellied infant with grossly clubbed fingers seen during a ward round as a medical student. The newborn baby with cystic fibrosis loo'ks perfectly normal; so may the toddler and even the older child. It is only after recurrent respiratory infection or prolonged malabsorption that the characteristic appearance is seen. The triad of failure to thrive, an exceptionally good appetite, and offensive, rather loose stools should be sufficient to require laboratory tests for cystic fibrosis to be carried out. The story of persistently abnormal stools, frequent or bulky, greasy, pale, and offensive even when the child is well nourished, should lead the doctor to consider cystic fibrosis as the diagnosis, especially if the child's appetite is said to be good. A cough should be considered