Inspect the Hands

Is clubbing of the fingernails present? The technique for evaluating clubbing is described in Chapter 8, The Skin. The earliest finding of clubbing is loss of the angle between the nail and the terminal phalanx. Look at Figure 8-12, in which a normal index fingernail is compared with a severely clubbed index fingernail of a patient with bronchogenic carcinoma.

Clubbing has been associated with a number of clinical disorders, such as the following:

Intrathoracic tumors Mixed venous-to-arterial shunts Chronic pulmonary disease Chronic hepatic fibrosis

The pathogenesis of clubbing is unclear. In many conditions, however, arterial desaturation occurs. This, in some way, may be the underlying problem. In some individuals, clubbing may be inherited without any pathologic process.

Was this article helpful?

0 0
Pregnancy And Childbirth

Pregnancy And Childbirth

If Pregnancy Is Something That Frightens You, It's Time To Convert Your Fear Into Joy. Ready To Give Birth To A Child? Is The New Status Hitting Your State Of Mind? Are You Still Scared To Undergo All The Pain That Your Best Friend Underwent Just A Few Days Back? Not Convinced With The Answers Given By The Experts?

Get My Free Ebook


Post a comment