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Clubbing history and symptoms

Introduction

Overview

Overview

History and Symptoms

History and Symptoms

Symptoms of the development of clubbing occur in five steps. They are as follows:[1]

  1. Fluctuation and softening of the nail bed (increased ballotability)
  2. Loss of the normal <165° angle (“Lovibond angle“) between the nailbed and the fold (cuticula)
  3. Increased convexity of the nail fold
  4. Thickening of the whole distal (end part of the) finger (resembling a drumstick)
  5. Shiny aspect and striation of the nail and skin

Past Medical History

Medical history questions may include:

  • Do you have any breathing difficulty?
  • Does clubbing affect the fingers, toes, or both?
  • Is it becoming more noticeable?
  • Is the skin ever bluish-colored?
  • What other symptoms do you have?
  • When did you first notice this?
References

References

  1. ↑ Myers KA, Farquhar DR (2001). “The rational clinical examination: does this patient have clubbing?”. JAMA. 286: 341–7. doi:10.1001/jama.286.3.341. PMID 11466101.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]