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Nail Clubbing - Causes of Clubbing - Respiratory, GIT, CVS, Other Causes Of Clubbing

Clubbing Of Nails
In Clubbing there is loss of angle between nail and nail base.  Nails are felt swollen on palpation.



Causes Of Clubbing Of Nails
Diseases of different organ systems may cause clubbing
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Clubbing Of Nails

Respiratory Causes Of Clubbing of Nails
1. Bronchiectasis
3. Empyema
4. Chronic Obsturctive Pulmonary Disease COPD. Which include Emphysema and Chronic Bronchitis.
5. Cyctic Fibrosis
6. Fibrosing alveolitis
7. Caricinoma Of Lungs.
8. Mesothelioma

Cardiovascular Causes Of Clubbing of Nails
1. Cayanotic Heart Disease
2. Tetralogy Of Fallot (Tetralogy Of Fallot Xray Diagnosis)
3. Transposition Of Great Vessels. 
4. Infective Endocarditis (clinical features of infective edocarditis)
5. Atrial Myxoma
6. Total anomalous pulmonary venous return (TAPVR; rare condition in which the pulmonary veins do not empty into the heart)

Gastrointestinal Causes Of Clubbing of Nails
1. Malabsorption syndrome
3. Crohn's disease 
5. Primary biliary cirrhosis
6. Gastrointestinal lymphoma
7. Cirrhosis Of Liver
8. Liver Cancer

Other Miscellaneous Causes of Clubbing of Nails
1. Familial
2. Pseudoclubbing in hyperthoyroidism. ( there is resorption of terminal phalanx in hyperthyroidism which gives an impression of clubbing. 
3. Dysentery (chronic infections and inflammation of GIT and diarrhea) 
4. Hodgkin Lymphoma
5. Esophageal Carcinoma.

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