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About Clubbing
  •   Dr. Sujata Singh |
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  •   06-Mar-2022

About Clubbing




It is defined as a 'selective bulbous enlargement of digital segment of a digital' (finger and toes) due to an increase in connective tissue especially on the dorsal aspect.

Resulting-loss of the onycho-nychial digit.

Loss of normal angle between the base of nail and nail fold is observed.


Grade of clubbing


Grade 1- increase fluctuation and softening of nail bed.

Grade2- loss of normal less than 165 onycho-dermal angle between nail bed and nail fold.

Grade3- Thickening of the whole distal finger.

Grade4- Hypertrophic osteoarthropathy

Pain and tenderness at distal end of long bone.


Cause

Respiratory cause

Bronchiogenic carcinoma

Bronchiectasis

Lung abscess

Emphysema

TB (long standing)

Pulmonary AV fistula

Lung disease


Cardiac cause

Infective endocarditis

Congenital heart


Alimentary cause

IBD( ulcerative colitis and crohn's disease)

Cirrhosis of liver

Hepatoma


Miscellaneous

Hereditary, idiopathic

Thyrotoxicosis

Acromegaly

Repeated trauma


Examination

Fluctuation test

Lovibond's profile sign

Curth'modified profile sign

Schamroth's window test


Clubbing can be assessed by asking the patient to place the dorsal of 4th finger of the opposite hand in opposition.

Normally, an open diamond shaped window is visible between oppositional nail due to presence of Lovibond's angle.

Obliteration of the area indicates the presence of clubbing.

This is known as schamroth's sign.


The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician.


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