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Congenital Clubbing of the Fingers

Clubbing of Finger(s) Congenital


Presentation

  • We therefore thought the present example worthwhile reporting. Mr. B., 34 years old, presented himself for examination with minor complaints of gastro-intestinal origin.[annals.org]
  • Elsevier Health Sciences, ٠١‏/٠١‏/٢٠١٥ - 248 من الصفحات Recognizing and Reporting Red Flags for the Physical Therapist Assistant will help you develop skills to recognize signs and symptoms that can compromise patient care, It is the first text to present[books.google.com]
  • Clinical Presentation Finger clubbing presents in a number of typical stages: increased fluctuation of the nail bed loss of the normal Lovibond angle at the base of the nail (Schamroth's window is lost) increased convexity of the nail widening or 'drumsticking[radiopaedia.org]
  • Prospective studies of patients presenting with clubbing have not yet been performed, and hence there is no conclusive evidence of these associations.[welfarejambo.blogspot.com]
  • Whilst these were present in the majority of cases they were also present in some cases of clubbing, so could not be said to be pathognomonic.[patient.info]
Pain
  • Three-step approach to formative assessments of physical therapy patients provides a consistent way to watch for and report on adverse changes such as range of motion, strength, pain, balance, coordination, swelling, endurance, or gait deviations.[books.google.com]
  • Initial visits to doctors are usually for minor pains in the shoulders and hands. Patients with secondary hypertrophic osteoarthropathy usually complain of pain and swelling in joints and long bones, and clubbing of fingers.[dermnetnz.org]
  • Low Back Pain, Disabling Low Back Pain, Lumbar Spinal Stenosis Lumbar Puncture Malaria Malnourishment, Adult Medical Decision-Making Capacity Melanoma Meningitis, Adult Menopause Migraine Mononucleosis Murmur, Diastolic Murmur, Systolic Myasthenia Gravis[jamaevidence.mhmedical.com]
  • Characteristics of clubbing Often, there is no pain with clubbing. The condition affects both sides. The enlargement of the fingertips or toes occurs over time, and may not be noticed by the individual.[news-medical.net]
Swelling
  • Three-step approach to formative assessments of physical therapy patients provides a consistent way to watch for and report on adverse changes such as range of motion, strength, pain, balance, coordination, swelling, endurance, or gait deviations.[books.google.com]
  • Caption Clubbing of the fingers, caused by swellings behind the roots of the nail, which leads to the replacement of the normal depressions by convex curves.[sciencephoto.com]
  • Presentation The patient may notice a swelling of the distal portion of the fingers or toes but the onset is usually so gradual as to make this a rare occurrence.[patient.info]
  • Illnesses that occur with the swelling and scarring of the tissues of the lung.[news-medical.net]
  • Swelling of the ends of the fingers so that the normal depression just behind the root of the nail is replaced by a convexity. The nails can be rocked slightly on their abnormally spongy beds.[medical-dictionary.thefreedictionary.com]
Congenital Digital Clubbing
  • Clinical description Isolated congenital digital clubbing is often painless and usually symmetrical and bilateral. Sometimes, some fingers or toes are spared, but the thumbs are almost always involved.[orpha.net]
  • 26 thanks, 21 comments 02 Aug 2016 Thank Share Post Verified response Appears to be isolated congenital digital clubbing, usually symmetrical and bilateral.[dailyrounds.org]
Malnutrition
  • […] include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation Additional information on dementia, hysteria, missed aneurysms, pulmonary embolism, evaluation of dehydration/malnutrition[books.google.com]
Wound Infection
  • Infection Clubbing Compliance and Medication Adherence Death Deep Vein Thrombosis Delirium Dementia Depression Diabetes, Foot Ulcer Diabetic Peripheral Neuropathy Dyspepsia Early HIV Infection Early Pregnancy Ectopic Pregnancy Erythema Migrans Falls,[jamaevidence.mhmedical.com]
Clubbed Finger
  • A congenital anomaly referred to as Tetralogy of Fallot is another condition linked with clubbed fingers. Hodgkin’s Lymphoma is a cancer of the lymphatic system and is associated with clubbed fingers.[simple-remedies.com]
  • Clubbing illustration Clubbed fingers - illustration Clubbed fingers is a symptom of disease, often of the heart or lungs which cause chronically low blood levels of oxygen.[stlukes-stl.com]
  • For instance, the lung health conditions not on the list as clubbed finger causes are pneumonia , asthma or COPD . Finger clubbing can also be caused by a harmless congenital abnormality.[healthblurbs.com]
  • Re: Is there a cure/ treatment for clubbed fingers. Date: Wed Feb 14 16:50:59 2001 Posted By: Robert Schier, M.D., Radiology, Pacific Imaging Consultants Area of science: General Biology ID: 981666940.Gb Message: Hello Shaun.[madsci.org]
Sleep Apnea
  • Expanded discussion of sleep apnea, blast injury, "minor" head trauma, and cervical spine involvement in rheumatoid arthritis New findings pertaining to transplantation-related graft-versus-host problems, AIDS and the adverse effects of therapy, drug[books.google.com]
  • Severe Alcohol Withdrawal Syndrome Sexual Abuse, Child Shoulder Instability Sinusitis Sleep Apnea Splenomegaly Streptococcal Pharyngitis Stroke Stroke, Hemorrhagic Temporal Arteritis Thoracic Aortic Dissection Upper Gastrointestinal Bleed Urinary Incontinence[jamaevidence.mhmedical.com]
Respiratory Distress
  • Patient Presentation A 4-year-old female came to the emergency room with fever and mild respiratory distress and cough. She had recently immigrated from Mexico.[pediatriceducation.org]
Ectopia Lentis
  • Ectopia lentis and aortic root dilatation in congenital contractural arachnodactyly. Am J Med Genet. 1992;42:19-21. Lee B, Godfrey M, Vitale E, et al. Linkage of Marfan syndrome and a phenotypically related disorder to two different fibrillin genes.[rarediseases.org]
Erythema
  • Description of Palmar erythema - occurs in several seemingly unrelated conditions - deep-red erythema over the thenar and hypothenar areas Causes of Palmar erythema Results from deep telangiectasias and is commonly associated with chronic liver disease[quizlet.com]
  • Pneumonia Chronic Wound Infection Clubbing Compliance and Medication Adherence Death Deep Vein Thrombosis Delirium Dementia Depression Diabetes, Foot Ulcer Diabetic Peripheral Neuropathy Dyspepsia Early HIV Infection Early Pregnancy Ectopic Pregnancy Erythema[jamaevidence.mhmedical.com]
  • The first stage of clubbing is a periungual erythema and a softening of the nail bed; this is followed by an increase in the Lovibond's angle (the angle between the proximal nail fold and the nail plate).[bestpractice.bmj.com]
  • Lovibond angle). the earliest sign is periungual erythema, then filling in of the angle between the proximal nailbed and the soft tissue of the finger just beneath the cuticle. This usually has a normal angle of around 160 .[pediatriceducation.org]
Hysteria
  • […] abuse, especially methamphetamine, and egg donation Additional maneuvers include the scapulohumeral reflex, the head thrust test, the apprehension test, and a newly described test for intercostal muscle innervation Additional information on dementia, hysteria[books.google.com]

Workup

  • Significance of Digital Clubbing Clubbing is a clinical sign which may indicate and prompt the workup for an underlying disease. It is often seen in pulmonary conditions. However, clubbing is also seen in some people without any underlying disease.[medcaretips.com]

Treatment

  • Your recommended treatment plan will depend on your diagnosis.[healthline.com]
  • What is the treatment for hypertrophic osteoarthropathy and clubbing? The main aim of treatment for secondary hypertrophic osteoarthropathy is treatment of the underlying malignancy or chronic disease.[dermnetnz.org]
  • Avoiding aerosol sprays like deodorants can help in the treatment of lung inflammation caused by exposure to toxins. Using a mask while working can help reduce occupational hazards like asbestosis.[simple-remedies.com]
  • A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.[stlukes-stl.com]
  • Re: Is there a cure/ treatment for clubbed fingers. Date: Wed Feb 14 16:50:59 2001 Posted By: Robert Schier, M.D., Radiology, Pacific Imaging Consultants Area of science: General Biology ID: 981666940.Gb Message: Hello Shaun.[madsci.org]

Prognosis

  • Prognosis Clubbing is potentially reversible if the underlying condition is treated early enough but the changes may be irreversible once collagen deposition has set in.[patient.info]

Etiology

  • Etiology It results from proliferation of the connective tissues between the nail matrix and the distal phalanx and abnormal function of the nail matrix.[orpha.net]
  • etiology? 26 thanks, 21 comments 02 Aug 2016 Thank Share Post Verified response Appears to be isolated congenital digital clubbing, usually symmetrical and bilateral.[dailyrounds.org]
  • Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'.[icd10data.com]
  • Tropical sprue Acquired malabsorptive condition of probable infectious etiology. Features include altered small-bowel mucosa, chronic diarrhea, and signs and symptoms of multiple vitamin and nutrient deficiencies.[online.epocrates.com]

Epidemiology

  • Summary Epidemiology Prevalence is unknown. Clinical description Isolated congenital digital clubbing is often painless and usually symmetrical and bilateral. Sometimes, some fingers or toes are spared, but the thumbs are almost always involved.[orpha.net]
  • Epidemiology Pachydermoperiostosis is rare and is characterised by skin thickening of the forehead, eyelids and hands, digital clubbing and periostosis. [ 2 ] The epidemiology of secondary clubbing depends on the cause.[patient.info]
  • Severe clubbing Front view Side views Cyanotic nail beds Epidemiology [ edit ] The exact frequency of clubbing in the population is not known.[en.wikipedia.org]
Sex distribution
Age distribution

Pathophysiology

  • Pathophysiology The exact cause for sporadic clubbing is unknown, and there are numerous theories as to its cause.[chdbabies.com]
  • The pathophysiology of clubbing is not well understood; however, it has been associated with a variety of disease states, including infectious, neoplastic, inflammatory, and vascular. Clubbing can also be a benign hereditary condition.[aafp.org]
  • Clubbing is thought to result from changes to the volume of interstitial fluid and increased blood flow to the area but the exact pathophysiology remains unknown. Primary clubbing may be idiopathic or be a feature of an inherited condition.[patient.info]
  • Pathophysiology Advances in the study of the pathogenesis have established that vascular endothelial growth factor (VEGF) is key.[bestpractice.bmj.com]
  • The exact pathophysiological mechanism for each cause of clubbing is unknown but an increase in vascular endothelial growth factor appears to be an important common pathway.[pediatriceducation.org]

Prevention

  • Can clubbing be prevented? The only way to prevent clubbing is by taking steps to prevent and manage the underlying conditions that cause it.[healthline.com]
  • The results also suggest that existing drugs such as aspirin, which are already used to prevent PGE2 production, may be effective in reducing the painful symptoms of finger clubbing.[sciencedaily.com]
  • Health care services aimed at preventing health problems or maintaining health are provided. Medical Knowledge 10. An investigatory and analytic thinking approach to the clinical situation is demonstrated. 11.[pediatriceducation.org]
  • Clubbing: Treatment & Prevention. When clubbed nails are the result of a disease, this nail disorder should be treated by treating the disease. However, Clubbing Nails often result from chronic low blood-oxygen levels.[handresearch.com]
  • Green leafy vegetables How to prevent nail polish from chipping Your food can play an important role in keeping you away from all types of diseases and ill health conditions.[beautyhealthtips.in]

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