Hand assessment Flashcards
1
Q
Finger clubbing
A
Soft tissue swelling of the terminal phalanx
Loss of normal angle between nail and nail bed
Chronic hypoxia
Schamroth window test (normal = diamond)
Sign of:
Congenital cyanotic heart disease
Respiratory disease
2
Q
Asterixis
A
‘Flapping tremor’
Irregular myoclonic jerking motions, commonly seen in the hands. (Hold hands out flexed directly up).
Sign of:
CO2 retention (COPD).
Uraemia.
Hepatic encephalopathy.
3
Q
Koilonychia
A
Indented spoon shaped nails.
> Fe deficiency anaemia.
Poor peripheral circulation.
Rheumatic fever.
4
Q
Leukonychia
A
Whitening under the nail bed.
> Nail bed trauma.
Chemotherapy.
5
Q
Palmer erythema
A
> Chronic liver disease.
> Pregnancy.
> Hyperthyroidism.
