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clubbing of fingers |
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clubbing of fingers Expansion–broadened and/or thickened fingertips or toes, with ↑ lengthwise curvature of the nail and a ↓ in the angle between the cuticle and the nail, often accompanied by underlying hypertrophic osteitis
associated with chronic 'central'–pulmonary hypoxia–↓ blood O2 due to infection, emphysema, congenital heart disease–tetralogy of Fallot, transposition of great vessels, cystic fibrosis, bronchogenic CA,
TB, bronchiectasis, pneumoconiosis, interstitial pulmonary fibrosis DiffDx Nonpulmonary disease–eg, atrial myxomas, Hodgkin's disease, Crohn's disease, ulcerative colitis, hepatitis, cirrhosis, thyroid acropachy, Graves'
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