Clubbing - Revision history

Rossdonaldson1: /* References */

2025-01-29T18:28:30Z

References

← Older revision		Revision as of 18:28, 29 January 2025
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	<references/>		<references/>
	1. McGee S. Chapter 28: Inspection of the Chest. In: Evidence-Based Physical Diagnosis. 5th ed. Philadelphia, PA: Elsevier; 2022. p. 235–9.		1. McGee S. Chapter 28: Inspection of the Chest. In: Evidence-Based Physical Diagnosis. 5th ed. Philadelphia, PA: Elsevier; 2022. p. 235–9.

			[[Category:Symptoms]]

Rossdonaldson1: /* Differential Diagnosis */

2024-11-06T17:13:09Z

Differential Diagnosis

← Older revision		Revision as of 17:13, 6 November 2024
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	**[[Cystic fibrosis]]		**[[Cystic fibrosis]]
	*Other Systemic Conditions		*Other Systemic Conditions
	**[[~~Congenital cyanotic~~ heart disease]]		**Cyanotic [[congenital heart disease]]
	**[[Endocarditis]]		**[[Endocarditis]]
	**[[Liver cirrhosis]]		**[[Liver cirrhosis]]

Rossdonaldson1: /* Differential Diagnosis */

2024-11-06T17:11:03Z

Differential Diagnosis

← Older revision		Revision as of 17:11, 6 November 2024
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	**Interstitial fibrosis		**Interstitial fibrosis
	**Bronchiectasis		**Bronchiectasis
	**Lung ~~Cancer~~		**[[Lung cancer]]
	**Empyema		**[[Empyema]]
	**Cystic ~~Fibrosis~~		**[[Cystic fibrosis]]
	*Other Systemic Conditions		*Other Systemic Conditions
	**Congenital ~~Cyanotic Heart Disease~~		**[[Congenital cyanotic heart disease]]
	**Endocarditis		**[[Endocarditis]]
	**Liver ~~Cirrhosis~~		**[[Liver cirrhosis]]
	**Chronic ~~Diarrhea~~		**Chronic [[diarrhea]]
	*Hereditary		*Hereditary
	*Idiopathic		*Idiopathic

Rossdonaldson1: /* Clinical Features */

2024-11-06T17:09:57Z

Clinical Features

← Older revision		Revision as of 17:09, 6 November 2024
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	[[File:Dedos con acropaquia.jpg\|thumb\|]]		[[File:Dedos con acropaquia.jpg\|thumb\|]]
	[[File:CongenitalHeartCase-133.jpg\|thumb\|Digital clubbing with cyanotic nail beds in an otherwise healthy-appearing, asymptomatic young adult with Tetralogy of Fallot.]]		[[File:CongenitalHeartCase-133.jpg\|thumb\|Digital clubbing with cyanotic nail beds in an otherwise healthy-appearing, asymptomatic young adult with Tetralogy of Fallot.]]
			*Bulbous enlargement of the ends of one or more fingers or toes
			*Loss of the normal angle between the skin and nail plate and excessive sponginess of the nail base
			*Frequently accompanied by cyanosis of the nail bed

	==Differential Diagnosis==		==Differential Diagnosis==

Codjwill at 01:13, 22 July 2024

2024-07-22T01:13:00Z

← Older revision		Revision as of 01:13, 22 July 2024
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	==Background==		==Background==
			*Painless enlargement of terminal phalangeal connective tissue
			*Affects fingers > toes
			*Increased vascular connective tissue proliferation
			**May be due to megakaryocyte escaping from lungs due to damaged pulmonary capillaries, travelling to distal capillaries, and subsequently releasing growth factors +/- increased PGE2

	==Clinical Features==		==Clinical Features==
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	==Differential Diagnosis==		==Differential Diagnosis==
			Clubbing as a sign can be related to the following causes:
			*Respiratory Conditions
			**Interstitial fibrosis
			**Bronchiectasis
			**Lung Cancer
			**Empyema
			**Cystic Fibrosis
			*Other Systemic Conditions
			**Congenital Cyanotic Heart Disease
			**Endocarditis
			**Liver Cirrhosis
			**Chronic Diarrhea
			*Hereditary
			*Idiopathic

	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
			*Evaluate potential underlying conditions as above based on clinical context
			**CXR
			**CT Chest
			**ABG / VBG
			**Pulse oximetry
			**CMP
			**Echocardiogram

	===Diagnosis===		===Diagnosis===
			*Hyponychial angle >190 degrees
			*Schamroth Sign - absent window between proximal nailbeds when opposite fingers placed back to back indicates clubbing

	==Management==		==Management==
			*Treatment of underlying condition can improve findings over time

	==Disposition==		==Disposition==
			*Based on overall clinical stability and other underlying diagnoses

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>
			1. McGee S. Chapter 28: Inspection of the Chest. In: Evidence-Based Physical Diagnosis. 5th ed. Philadelphia, PA: Elsevier; 2022. p. 235–9.

Rossdonaldson1: /* Clinical Features */

2024-04-10T16:19:02Z

Clinical Features

← Older revision		Revision as of 16:19, 10 April 2024
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	[[File:ClubbingFingers1.jpg\|thumb\|]]		[[File:ClubbingFingers1.jpg\|thumb\|]]
	[[File:Dedos con acropaquia.jpg\|thumb\|]]		[[File:Dedos con acropaquia.jpg\|thumb\|]]
			[[File:CongenitalHeartCase-133.jpg\|thumb\|Digital clubbing with cyanotic nail beds in an otherwise healthy-appearing, asymptomatic young adult with Tetralogy of Fallot.]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2024-04-10T16:16:24Z

Clinical Features

← Older revision		Revision as of 16:16, 10 April 2024
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	==Clinical Features==		==Clinical Features==
	[[File:ClubbingFingers1.jpg\|thumb\|]]		[[File:ClubbingFingers1.jpg\|thumb\|]]
			[[File:Dedos con acropaquia.jpg\|thumb\|]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Clinical Features */

2024-04-10T16:15:33Z

Clinical Features

← Older revision		Revision as of 16:15, 10 April 2024
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	==Clinical Features==		==Clinical Features==
			[[File:ClubbingFingers1.jpg\|thumb\|]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ===Workup=== ===Diagnosis=== ==Management== ==Disposition== ==See Also== ==External Links== ==References== "

2024-04-10T16:13:24Z

Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Evaluation== ===Workup=== ===Diagnosis=== ==Management== ==Disposition== ==See Also== ==External Links== ==References== <references/>"

New page

==Background==

==Clinical Features==

==Differential Diagnosis==

==Evaluation==
===Workup===

===Diagnosis===

==Management==

==Disposition==

==See Also==

==External Links==

==References==
<references/>