What Could Be The Future Combination Of Symptoms And Danger To Have More Clubbing Hand's Nails ?
What are the examens required to establish a good diagnosis or it is impossible to know ?
Thank you for your query on Healthcare Magic.
Clubbing is a sign of an underlying medical condition most commonly seen in chronic heart and lung diseases.
Clubbing of nails is seen in the following conditions:
Congenital heart diseases which present with cyanosis since birth.
1.Congenital acyanotic heart diseases in which the shunt reverses leading to
cyanosis as the age increases.
2.Chronic lung infections like bronchiectasis,cystic fibrosis, lung abscess, and
lung cancers and empyema.
3.Pleural mesothelioma.
4.Infective endocarditis which is an infection of inner layer of heart which
usually occur in patients with an underlying heart defect.
5.Other lung conditions such as tuberculosis and interstitial lung disease.
6.The other causes for clubbing are :
Celiac disease
Liver disorders such as cirrhosis of the liver and chronic liver diseases.
Graves' disease
Hyperthyroidism
Cancers of gastrointestinal tract, liver, and Hodgkin's lymphoma.
Inflammatory bowel diseases such as ulcerative colitis and Crohn's disease.
The symptoms and signs of concerning are:
Breathing difficulty
Blood in the sputum
Prolonged fever
Cough
Chest pain
Shortness of breath
Altered bowel habits
Abdominal pain or distention
Loss of weight
Jaundice
Loss of appetite
Bleeding per rectum
Bluish discoloration of lips and fingers
The complete review of complaints has to be done by a physician with family and medical history followed by a thorough physical examination to detect the underlying cause for the clubbing.
The following investigations will be required to find out for the causes of clubbing:
Chest X XXXXXXX
CT Scan chest
Echocardiogram
EKG
Pulmonary function tests
Thyroid profile
Liver function tests
CT Scan of abdomen and pelvis
Biopsy and histopathological studies depending on clinical examination
Other blood investigations
Endoscopy of gastrointestinal tract.
Consultations with physician, pulmonologist, gastroenterologist, and cardiologist are required in coordinated fashion to look for and to investigate for the causes of clubbing.
Hope I have answered your query, if you have any clarification please let me know.
Regards.