Clubbing Flashcards

1
Q

Def of Clubbing

A

Increases in the soft tissue of the distal part of the fingers or toes d2 hypoxia or toxemia.

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2
Q

Def of Lovibond angle

A

The angle between the nail base & it’s adjacent skin.

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3
Q

Values of Lovibond angle

A
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4
Q

Causes of Clubbing

A
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5
Q

Cardiac Causes of Pale (toxemic) Clubbing

A

Subacute Infective endocarditis .

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6
Q

Chest Causes of Pale (toxemic) Clubbing

A
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7
Q

Abdomen Causes of pale (Toxemic) Clubbing

A
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8
Q

Other Causes of Pale (Toxemic) Clubbing

A
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9
Q

Cardiac Causes of Blue (Hypoxic) Clubbing

A
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10
Q

Chest Causes of Blue (Hypoxic) Clubbing

A
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11
Q

Causes of Reversible Clubbing

A
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12
Q

Causes of unilateral Clubbing

A

Causes of unequal pulse +
- Iatrogenic A/V fistula to patient with chronic renal failure under dialysis.

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13
Q

Causes of differential Clubbing

A

Same as causes of differential cyanosis (look cyanosis).

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14
Q

Def of Pseudo-clubbing

A

Peaking of nail bed rather than new tissue formation

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15
Q

Causes of Pseudo-clubbing

A

Hyperparathyroidism due to hypercalcemia → calcification of nail

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16
Q

Grades of Clubbing

A
17
Q

Grades of Clubbing

  • Grade 0
A

 Softening of the nail bed.
 Subclinical stage.
 Detected by + ve fluctuation test at nail base.

18
Q

Grades of Clubbing

  • Grade 1
A

 Obliteration of the angle (Lovibond angle)
 Detected by schamroth window test

19
Q

Grades of Clubbing

  • Grade 2
A

 Increase longitudinal diameter > transverse.

 Swollen the proximal part of distal phalanx: Parrot beak

20
Q

Grades of Clubbing

  • Grade 3
A

 Increase transverse diameter.

 Swelling of the finger bulb in all directions: Drumstick

21
Q

Grades of Clubbing

  • Grade 4
A

 Any stage with pulmonary osteoarthropathy
 Detected by radiology

22
Q

How to Examine Clubbing?

A