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In medicine, clubbing (or digital clubbing) is a deformity of the fingers and fingernails that is associated with a number of diseases, mostly of the heart and lungs. Idiopathic clubbing can also occur. Hippocrates was probably the first to document clubbing as a sign of disease, and the phenomenon is therefore occasionally called Hippocratic fingers.
Signs and diagnosis
Clubbing develops in five steps:Myers KA, Farquhar DR. The rational clinical examination: does this patient have clubbing? JAMA. 2001;286:341-7. PMID 11466101.
- Fluctuation and softening of the nail bed (increased ballotability)
- Loss of the normal <165° angle ("Lovibond angle") between the nailbed and the fold (cuticula)
- Increased convexity of the nail fold
- Thickening of the whole distal finger (resembling a drumstick)
- Shiny aspect and striation of the nail and skin
When clubbing is encountered in patients, doctors will seek to identify its cause. They usually accomplish this by obtaining a medical history— particular attention is paid to lung, heart, and gastrointestinal conditions —and conducting a clinical examination, which may disclose associated features relevant to a diagnosis. Additional studies such as a chest x-ray may also be performed.
More on [ Clubbing ]
I still havent had more than 5 hours sleep everyday this week. If I stay up tonite, go clubbing then go str8 shopping, I might not make it
boperana (Brandon Operana) Thu, 26 Nov 2009 20:40:33 -0000
I still havent had more than 5 hours sleep everyday this week. If I stay up tonite, go clubbing then go str8 shopping, I might not make it
I #knewuwasabird when you strip all week just to go clubbing #ohyesgirlimtalkingtoyou
Snak3Eyes (Eddie Barber) Thu, 26 Nov 2009 20:31:11 -0000
I #knewuwasabird when you strip all week just to go clubbing #ohyesgirlimtalkingtoyou
@yipeedoodledee Only been to few clubs, that's all. I think I a bit hiong when clubbing but I dont drink. Imma good girl. Club someday! :)
tingkwann (tingkwann) Thu, 26 Nov 2009 20:28:13 -0000
@yipeedoodledee Only been to few clubs, that's all. I think I a bit hiong when clubbing but I dont drink. Imma good girl. Club someday! :)
Thankful my car didn't get towed..& for my love...still got lastnite's clubbing outfit on SMH...this has been thee longest walk of shame!
craziesexiecool (Marines Rodriguez) Thu, 26 Nov 2009 20:23:11 -0000
Thankful my car didn't get towed..& for my love...still got lastnite's clubbing outfit on SMH...this has been thee longest walk of shame!
Home from clubbing. Went to a gay club for the 1st time! It was so fun. I love my gay bfs. :) They make the bestest pals!
JJamieChua (Jamie Chua) Thu, 26 Nov 2009 20:14:44 -0000
Home from clubbing. Went to a gay club for the 1st time! It was so fun. I love my gay bfs. :) They make the bestest pals!
One whole day out. so tired. I'm with my dearest friend roseanne. We try to go out clubbing but. Unfortunately. We run out of time. Too late
emmariepaz (emmarie paz) Thu, 26 Nov 2009 20:11:43 -0000
One whole day out. so tired. I'm with my dearest friend roseanne. We try to go out clubbing but. Unfortunately. We run out of time. Too late
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