Home

Clubbing of fingers

Clubbing is a medical condition first described by Hippocrates in which the fingers (and/or toes) have the appearance of upside-down spoons. It is caused by a build-up of tissue in the distant part of the fingers (terminal phalanges), that causes the end of the fingers to become enlarged and the nails to curve downward Clubbed fingers occur when soft tissues at the fingertips become swollen and spongy. This straightens the natural curvature of the nail bed, causing a clubbed appearance. A person experiencing.. Clubbing of the fingers, in which the fingertips spread out and become rounder than normal, is often linked to heart or lung conditions

Nail clubbing, also known as digital clubbing or clubbing, is a deformity of the finger or toe nails associated with a number of diseases, mostly of the heart and lungs. When it occurs together with joint effusions, joint pains, and abnormal skin and bone growth it is known as hypertrophic osteoarthropathy Clubbing of the fingers or toes refers to certain physical changes to your fingernails or toenails that result from an underlying medical condition. These changes can include: widening and.. Clubbed fingers are also known as watch-glass nails, drumstick fingers, and Hippocratic fingers/nails. It was first described by Hippocrates nearly 2500 years ago in a patient with empyema. Because of this, it is often described as Hippocratic finger and is regarded to be the oldest sign in clinical medicine

Clubbing is described as a bulbous uniform swelling of the soft tissue of the terminal phalanx of a digit, with subsequent loss of the normal angle between the nail and nail bed Finger clubbing is also called digital clubbing or Hippocratic fingers. It is the phrase doctors use to describe specific changes in the shape of the fingers and fingernails. People with heart or lung problems sometimes have these changes. They usually develop in advanced disease

Nail Clubbing: Definition, Causes, and Diagnosi

  1. ant trait. Clubbing is a clinically descriptive term, referring to the bulbous..
  2. What is clubbing?<br />In simple terms clubbing is the bulbous enlargement of the fingertips along with an increase in anteroposterior as well as lateral curvature of the nails<br />2<br /> 3
  3. Clubbing is changes in the areas under and around the toenails and fingernails that occur with some disorders. The nails also show changes
  4. In finger clubbing, the tissues at the base of the nail are thickened and the angle between the nail base and the adjacent skin on the finger (this should measure approximately 160 degrees - figure 18a,b) becomes obliterated.Application of light pressure at the base of the nail is associated with excessive movement of the nail bed. In clubbing, the nail looses its longitudinal curve and.
  5. When you have clubbed fingers and thumbs, the tissue under your nailbeds swell and soften. Your fingertips bulge and the nails curve down and may get shiny. Experts don't know the exact cause of..

Clubbed fingers: Causes, symptoms, treatment, and when to

Clubbing and other nail changes - Underlying bone disease, especially distal phalangeal involvement, is often present in patients with sarcoid nail disease (ie, nail striations), and nail clubbing . ›. Malignancy and rheumatic disorders. View in Chinese Clubbing is enlargement of the tips of the fingers or toes and a change in the angle where the nails emerge. Clubbing occurs when the amount of soft tissue beneath the nail beds increases. It is not clear why the soft tissue increases, but it may be related to the levels of proteins that stimulate blood vessel growth

Clubbed fingers is a symptom of disease, often of the heart or lungs which cause chronically low blood levels of oxygen. Diseases which cause malabsorption, such as cystic fibrosis or celiac disease can also cause clubbing. Review Date 1/1/2020 Clubbing is an abnormality of the fingertips with following features: beaked nails. loss of angle between nail bed and finger. increased AP width of finger tip. sponginess of proximal nail bed Most people with lung cancer don't know that their fingers are clubbing unless they know specifically to look out for it, said Dr. Emma Norton of Cancer Research UK, but the Schamroth window test is a really easy way to check for potential underlying conditions. The test is used by medical professionals as a partial method of.

Clubbing of fingers - Mayo Clini

Nail Clubbing - Overview. Nail clubbing is a change in the structure of fingernails or toenails in which the finger and nail take on the appearance of an upside-down spoon, and become red and sponge-like. Clubbing is a medical condition first described by Hippocrates in which the fingers (and/or toes) have the appearance of upside-down spoons Finger clubbing is present if: • The interphalangeal depth ratio (B/A in Fig. 3.18) is >1 • The nail bed angle is >190° • Schamroth's window sign is absent. Increased nail bed fluctuation may be present, but its presence is subjective and less discriminatory than the above features. Causes. Causes of Clubbing are includes. Acquired Cause Clubbing and its pathogenesis. Clubbing is the bulbous swelling of the terminal part of the fingers and the toes with an increase in the soft tissue mass, and increased anteroposterior as well as transverse diameter of the nails due to proliferation of subungual connective tissue. Normal angle between the skin and the nail bed is 160 degree

Nail clubbing - Wikipedi

Clubbing. The terminal portion of fingers and toes are usually of the same size and gently taper at the tip. In certain conditions the soft tissues proliferate in the terminal portion of fingers and toes and give them an appearance of club. When this occurs, patient is said to have clubbing Clubbing is a uniform swelling of the terminal digital phalynx with loss of the normal angle between the nail and nail bed (i.e. Lovibond angle). the earliest sign is periungual erythema, then filling in of the angle between the proximal nailbed and the soft tissue of the finger just beneath the cuticle

What are the symptoms of pulmonary fibrosis? | British

Digital clubbing can be detected through various tests. Of these tests, Myers et al 1 recommend assessment of profile angle and phalangeal depth ratio ( Figure 1 ). A profile angle that approaches a straight line (180°) or phalangeal depth ratio that exceeds 1.0 is rare in people with no disease. 1. Figure 1 Clubbing is a clinical finding characterized by bulbous fusiform enlargement of the distal portion of a digit (see the image below). Clubbed fingernail. When the profile of the distal digit is viewed, the angle made by the proximal nail fold and nail plate (Lovibond angle) typically is less than or equal to 160°

Clubbing of the Fingers or Toes - Healthlin

Clubbed nails were described in ancient times by Hippocrates and is a clinical sign that may accompany a number of different disease processes. Clubbing refers to swelling in the tip of the digit that results in loss of the normal angle seen between the nail and the nail bed. The fingertips appear broader and rounder when clubbing is present Clubbing of the fingers and toes asso ciated with cyanosis is found in certain congenital cardiovascular defects (the æruleus). Clubbing without cyanosis is found in subacute bacte-rial endocarditis. However, it must be remembered that clubbed fingers are often found with noncardiac condi-tions, most commonly of all in pulmo Digital index = NB:DIP ratios for all 10 fingers. Phalangeal depth ratio = DPD:IPD ratio. In IPF, clubbing is associated with poor prognosis, but little is known about the best methodology to assess clubbing in ILDs. Hence, the prevalence, clinical utility and clinical significance of clubbing is unknown With clubbing, the ends of the fingers beyond the last joint become rounded and bulbous, and the angle at the nail bases becomes more convex. The reason for clubbing is not completely understood, but it may relate to chemical changes or lack of sufficient oxygen. A genetic abnormality causes a benign clubbing in some people disease, liver disease, syphilis and the other causes of clubbed fingers in comparison with that found In pleuro-pulmonary and congenital heart disease. 5. All patients with clubbed fingers should have complete chest x-ray examination, including bronchography, unless the diagnosis is obvious on the plain chest film. RESUMEN 1

clubbing [klub´ing] bulbous swelling of the terminal phalanges of the fingers and toes, giving them a club appearance; the normal 160° angle between the nailbed and the digit increases to 180°. It may be an early stage of hypertrophic osteoarthropathy, or it may be without subsequent changes in the long bones. The specific etiology is not known. Kanematsu T, Kitaichi M, Nishimura K, Nagai S, Izumi T. Clubbing of the fingers and smooth-muscle proliferation in fibrotic changes in the lung in patients with idiopathic pulmonary fibrosis. The Schamroth window test can be used to identify or confirm clubbing. If two opposing fingers are held back to back against each other, a diamond-shaped space should normally appear between the nail beds and the nails of the two fingers. In clubbing, this space (or window) is missing. [Figure caption and citation for the preceding image starts.

My right index and pinky fingers turn in at the nail. Well I found out what it's called clubbing and did some research on it. I was able to find a picture of it and its exactly what my fingers look like. Well according to the information it is a sign of bad lung problems or lung cancer Clubbing of the fingers and toes has been recognized as a clinical manifestation of intrathoracic disease from the earliest times. Hippocrates particularly described the condition as occurring with advanced phthisis and empyema and emphasized the importance of the changes as diagnostic of purulent pleural effusion Regan, G. M., Tagg, B., and T, M. L.: Subjective assessment and objective measurement of finger clubbing, Lancet 1: 530-532, 1967. PubMed CrossRef Google Schola

Common symptoms of clubbing: The nail beds soften. The nails may seem to float instead of being firmly attached. The nails form a sharper angle with the cuticle. The last part of the finger may appear large or bulging. It may also be warm and red. The nail curves downward so it looks like the round part of an upside-down spoon Clubbing of the fingers. In a normal finger, the length of the perpendicular dropped from point A to point B should be greater than a similar line from C to D. In clubbing, the relationships are reversed; that is, the distance C-D is greater than the distance A-B. The other important change is the angle described by A-C-E Lung cancer is the most common cause of nail clubbing, and about 5 - 15% of lung cancer patients are known to have signs and symptoms of nail clubbing. Among various types of thoracic cancers. clubbing of fingers Expansion-broadened and/or thickened fingertips or toes, with ↑ lengthwise curvature of the nail and a ↓ in the angle between the cuticle and the nail, often accompanied by underlying hypertrophic osteitis associated with chronic 'central'-pulmonary hypoxia-↓ blood O 2 due to infection, emphysema, congenital heart disease-tetralogy of Fallot, transposition of.

Amazing radiology images: How sharing them is changing

Finger Clubbing. Clubbing is painless soft-tissue swelling of the terminal phalanges. The enlargement increases convexity of the nail. It may be produced by growth factors from megakaryocytes and platelets lodged in nail bed capillaries stimulating vascular connective tissue. It is an important sign of major diseases, although it Clubbing of fingers synonyms, Clubbing of fingers pronunciation, Clubbing of fingers translation, English dictionary definition of Clubbing of fingers. n. A condition in which the ends of the fingers and toes are enlarged and the nails are shiny and abnormally curved. American Heritage® Dictionary of the.. Finger (or digital) clubbing is where the ends of your fingers swell up. It happens in stages, according to Cancer Research UK. Firstly, the base of the nail becomes soft and the skin next to the. clubbing of fingers and toes - a condition marked [...] by the ends of the fingers and toes become enlarged; more prevalent in the fingers. content.jeffersonhospital.or

Digital clubbin

  1. Clubbed thumb (known clinically as brachydactyly type D (BDD)), a relatively short and round thumb with an accompanying wide nail bed Nail clubbing (also known as drumstick fingers and watch-glass nails), a deformity of the fingers and fingernail
  2. R68.3 is a billable diagnosis code used to specify a medical diagnosis of clubbing of fingers. The code R68.3 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code R68.3 might also be used to specify conditions or terms like clubbing of nail.
  3. Clubbing can be defined as the selective bullous enlargement of the distal segments of the fingers and toes due to proliferation of connective tissue, particularly on the dorsal surface. There is increased sponginess of the soft tissue at the nail bed. It is also called HIPPOCRATIC FINGERS, DRUMSTICK FINGERS or WATCH GLASS NAILS
  4. Nail clubbing [2] Definition: Nail clubbing is a physical finding characterized by painless swelling of the distal phalanges typically associated with chronic hypoxemia. Pathophysiology. Not fully understood; Hereditary factors may predispose to clubbing
  5. ation of the distal phalanx. According to Robert A. Schwartz MPH, MD, the definition of clubbing is best described as: The profile of the distal digit is viewed. The angle made by the proximal nail fold and nail plate (Lovibond angle) typically is less than or equal to 160 degrees

Clinical description Isolated congenital digital clubbing is often painless and usually symmetrical and bilateral. Sometimes, some fingers or toes are spared, but the thumbs are almost always involved. Acronym ICNC Synonyms Clubbing of digits Hereditary acropachy Isolated congenital digital clubbing Any medical or genetic information present in this entry is provided for research, educational. Clubbing of the fingers, in which the fingertips spread out and become rounder than normal, is often linked to heart or lung conditions. Advertisement Policy Opportunities Mayo Clinic does not endorse compan or products. Advertising revenue supp our not-for-profit mission. Advertising & Sponsorshi Define clubbing. clubbing synonyms, clubbing pronunciation, clubbing translation, English dictionary definition of clubbing. n. A condition in which the ends of the fingers and toes are enlarged and the nails are shiny and abnormally curved Hypertrophic osteoarthropathy is a disease of the joints and bones. It is characterised by clubbing of the fingers and toes, enlargement of the extremities, and painful and swollen joints. The disease falls into 2 categories: Secondary hypertrophic osteoarthropathy. Primary hypertrophic osteoarthropathy is a rare inherited condition Familial clubbing of fingers and toes. Clubbing of the digits as a primary disease. Drumstick digits: a case of clubbing of the fingers and toes. Clubbed fingers. Keratoderma palmaris et plantaris with clubbing and skeletal deformity of the terminal phalanges of the hands and feet. Report of findings in two sisters

Clubbed fingers can be differentiated from non-clubbed fingers by measurement of nail bed thickness, using plain radiograph. Moreira et al .[ 105 ] reported significantly higher mean nail bed thickness of 3.88 ± 0.55 mm in patients with clubbing compared to 2.38 ± 0.27 mm in the normal subjects ( P <0.001) Clubbing and its pathogenesis นิ้วปุ้ม คืออะไร. Digital clubbing หรือ clubbing of the fingers คือการที่ปลายนิ้วมือหรือนิ้วเท้ามีการขยายตัวออกเหมือนไม้พลองหรือไม้กระบอง กลไกการเกิดยังไม่ทราบแน่. Clubbed fingers - illustration . Clubbed fingers is a symptom of disease, often of the heart or lungs which cause chronically low blood levels of oxygen. Diseases which cause malabsorption, such as cystic fibrosis or celiac disease can also cause clubbing. Clubbed fingers. illustratio

film quote All of them with itchy trigger fingers. [coll.] Und allen juckt der Finger am Abzug. [ugs.] cloth. clubbing dress: Ausgehkleid {n} [Partykleid, outfit für Clubbings] cloth. clubbing shoe: Ausgehschuh {m} [zum Tanzengehen] med. nail clubbing: Kolbenfinger {m} [Osteoarthropathie hypertrophique pneumique] film F The 5,000 Fingers of Dr. Clubbing Finger (นิ้วปุ้ม) เผยแพร่ครั้งแรก 6 มิ.ย. 2019 อัปเดตล่าสุด 17 พ.ย. 2020 เวลาอ่านประมาณ 2 นาท Clubbing. The terminal portion of fingers and toes are usually of the same size and gently taper at the tip. In certain conditions the soft tissues proliferate in the terminal portion of fingers and toes and give them an appearance of club. When this occurs, patient is said to have clubbing

Clubbing is the enlargement of the distal fingers or toes along with the formation of convex shaped fingernails or toenails. + +. Cyanosis is the bluish discoloration of the skin or mucous membranes due to increased quantity of deoxyhemoglobin in the blood. Unless otherwise specified, cyanosis in this chapter refers to central cyanosis Clubbed fingers is a symptom of disease, often of the heart or lungs which cause chronically low blood levels of oxygen. Diseases which cause malabsorption, such as cystic fibrosis or celiac disease can also cause clubbing Finger clubbing is a serious medical condition, which has become increasingly common in clinical settings, these days. It is important to understand that finger clubbing is symptom and not a disease. The presence of finger clubbing can be a helpful indication of a serious underlying pathology. Know the causes, stages, grades, pathophysiology and treatment of finger clubbing

Finger Clubbing | Mumsnet

Digital clubbing refers to a focal enlargement of the connective tissue in the terminal phalanges of fingers and toes, most noticeably on their dorsal surfaces. This sign was first described by Hippocrates, and the term Hippocratic fingers is used by some to denote simple digital clubbing. The pathogenesis of clubbing is still not entirely clear Nail clubbing occurs when the tips of the fingers enlarge and the nails curve around the fingertips, usually over the course of years. Nail clubbing is sometimes the result of low oxygen in the blood and could be a sign of various types of lung disease. Nail clubbing is also associated with inflammatory bowel disease, cardiovascular disease. In Figure 8-12, a normal finger is compared with a finger with nail clubbing. Figure 8-8 Lindsay's nails. Figure 8-12 Late-stage clubbing. To examine for clubbing, the patient's finger is placed on the pulp of the examiner's thumbs, and the base of the nail bed is palpated by the examiner's index fingers

Gastrointestinal (GI) cause of clubbing Hepatic cirrhosis Coeliac disease Ulcerative colitis Crohn's disease GI lymphoma Click here to learn how to do a full abdominal examination and here for other medical exams Click here for medical student OSCE and PACES exam questions about abdominal examinatio 1996, finger clubbing was observed in 57 (19%) of 300 consecutive cases at presentation, This proportion was lower than that reported in the West2,3, The mean age of patients with lung cancer was 60.4 years (range 21-90 years), There were 215 males and 85 females (male to.

Assessment of clubbing - Differential diagnosis of

The nail-fold angle is one method used to define clubbing. In normal fingers, the nail extends from the bed (the profile angle) at about 160 degrees, but in clubbed fingers this angle approaches. Abstract. Clubbing of the fingers and toes, and the more severe pulmonary osteoarthropathies and periostitides, occur when there is arterial anoxia due to congenital or acquired lesions or residence at high altitude. It occurs in many disorders in which the erythrocyte sedimentation rate is rapid, but arterial oxygen saturation normal Clubbing is commonly associated with chronic lung diseases but sometimes even extra-thoracic diseases can cause clubbing of digits. Generally clubbing is bilateral and involves both nails of finger as well as toes. People also refer clubbing with other names such as watch-glass nail or drumstick fingers Clubbing of the fingers. BRANWOOD AW. Edinburgh Medical Journal, 01 Mar 1949, 56(3): 105-120 PMID: 18130731 PMCID: PMC5301850. Free to read & use . Share this article Share with email Share with twitter Share with linkedin Share with facebook. Abstract . No abstract provided. Free full text.

Shutterstock. According to Pulmonary Fibrosis News, digital clubbing typically occurs in stages, with the fingernails lifting from the nail bed first. From there, the fingertips become bulbous and begin bulging. A report from Mount Sinai's health library says that the nail beds may also soften, and the nails may seem to 'float' instead of being firmly attached Clubbed nails. Increased curvature of the nail plate may be due to a wide variety of causes. In this patient, the large, convex nails are a hereditary anomaly and were found to be present in both father and brother. Other causes of clubbing of the nails in children include cyanotic congenital heart disease, cystic fibrosis, and chronic. Digital clubbing was first described by Hippocrates in 400 bc in a patient with empyema. This unique examination finding can provide an immediate clue that a serious underlying condition may exist. In 1938, Lovibond 2 described the profile sign ( Figure ), 3 which, if >180°, indicates true clubbing of the fingers

Clubbing of the fingers or toes: deformity of the fingers. We study 459 people who have Clubbing of the fingers or toes. The information that eHealthMe analyzes includes: - COVID vaccines that are associated with Clubbing of the fingers or toes - Medications that treat Clubbing of the fingers or toes and their effectiveness. Clubbing fingers synonyms, Clubbing fingers pronunciation, Clubbing fingers translation, English dictionary definition of Clubbing fingers. n. A condition in which the ends of the fingers and toes are enlarged and the nails are shiny and abnormally curved. American Heritage® Dictionary of the.. [Diagnostic image (144) A man with clubbing of fingers. Hypertrophic osteoarthropathy (Pierre-Marie-Bamberger syndrome)] Lamme B, Spoelstra FO, Lastdrager WB. Ned Tijdschr Geneeskd, 147(25):1216, 01 Jun 2003 Cited by: 1 article | PMID: 1284805

Clubbed Fingers Causes: Pictures, Nails, Stages, Treatment

Clubbing of the Nails: Background, Pathophysiology, Etiolog

Objective. Hypervascularization in finger clubbing is recognized, but its microanatomical basis remains unclear. This pilot descriptive study used magnetic resonance imaging (MRI) to explore this further. Methods. High-resolution MRI acquired with contrast agent was carried out in 4 patients with finger clubbing and 4 healthy volunteers. The anatomy of the nail bed, capsular structures, and. Since clubbing was identified more than 2,000 years ago by Hippocrates, doctors and scientists have been trying to figure out the connection. Why should swollen fingers and irregular nails have anything to do with these diseases? Researchers identified the culprit in a fatty compound called PGE2 Clubbing of the fingers or toes Definition. Clubbing is changes in the areas under and around the toenails and fingernails that occur with some disorders. The nails also show changes. Considerations. Common symptoms of clubbing: The nail beds soften. The nails may seem to float instead of being firmly attached Finger clubbing is recognized as the oldest clinical sign in medicine1. The presence of finger clubbing is associated with a variety of diseases, including respiratory disease, cyanotic congenital heart disease, and malignant disease. Despite the well-known prevalence of finger clubbing, its Downloaded on August 2, 2021 from www.jrheum.or

Clubbing - SlideShar

  1. clubbing of fingers : German - English translations and synonyms (BEOLINGUS Online dictionary, TU Chemnitz
  2. istration (FDA), and is updated regularly
  3. In each of the seven cases of clubbed fingers presented there was associated severe chronic ulcerative colitis. Clubbing of the fingers occurs as a sequel of chronic ulcerative colitis more commonly than is generally realized. Chronic debilitating inflammatory disease of the bowel may lead, in certain cases, to digital deformity in the same manner as disease of the lungs

Long Description: Clubbing of fingers. The code R68.3 is VALID for claim submission. Code Classification: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) General symptoms and signs (R50-R69) Other general symptoms and signs (R68) R68.3 Clubbing of fingers. Code Version: 2020 ICD-10-CM Nail clubbing also known as finger clubbing and digital clubbing, is basically a deformity of terminal soft part of finger that is distal phalanges along with nails and toenails. Let us understand about nail clubbing in detail. Presenting here are the causes, symptoms, grades, diagnosis and treatment of nail clubbing Not Valid for Submission. 781.5 is a legacy non-billable code used to specify a medical diagnosis of clubbing of fingers. This code was replaced on September 30, 2015 by its ICD-10 equivalent. ICD-9

Clubbing of the fingers or toes Information Mount Sinai

Clubbing has been noted with a wide variety of conditions, including pulmonary and cardiac diseases, liver disorders, and disorders of the gastrointestinal tract; An enlargement of the tips of the fingers or toes and a change in the angle where the nails emerge. It occurs when the amount of soft tissue beneath the nail beds increases Clubbing definition is - the activity of patronizing nightclubs. How to use clubbing in a sentence Results suggestive of Digital Clubbing. NB/DIP ratio exceeds 1 on all fingers or. Sum of all ten NB/DIP ratios >10. VII. Signs: Lovibond Angle. Line 1. Draw a longitudinal line across the top of the distal digit soft tissue. Line 2. Draw a longitudinal line across the midpoint of the nail plate SUMMARY A case is reported in which finger‐clubbing was associated with, and apparently caused by, lupus erythematosus. Lupus erythematosus in association with finger‐clubbing - MACKIE - 1973 - British Journal of Dermatology - Wiley Online Librar Thank you for your interest in spreading the word about The BMJ. NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail

Clinical Examination - Clubbin

Clubbing of fingers (exact match) This is the official exact match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that in all cases where the ICD9 code 781.5 was previously used, R68.3 is the appropriate modern ICD10 code Clubbing of the fingers means the ends of the fingers are bulging, soft and sometimes reddened with wide, distorted fingernails that slope downward and are shaped like small spoons. very well health If you notice clubbing of the fingers, you should contact your doctor or a health provider because it could be a sign of a serious health problem ICD-10-CM Code for Clubbing of fingers R68.3 ICD-10 code R68.3 for Clubbing of fingers is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Clubbed Fingers: What Causes Clubbed Fingers and Thumbs

  1. Clubbing Doctor Patien
  2. Finger Clubbing الفحص السريري د
  3. Clubbed fingers clubbing schamroth's sign - YouTub
  4. Finger clubbing Mesothelioma Cancer Research U
  5. Clubbing of the fingers or toes: MedlinePlus Medical
  6. Nail Clubbing: Signs, Stages and Treatment - NailDesignCod
  7. Clubbing of fingers (Concept Id: C0009080
I have abnormally pointy fingertipsHypothyroidism Signs and Symptoms Hypothyroidism Signs andDoes This Patient Have Clubbing? | Chronic ObstructiveCure Yellow Nails with Whitening ToothpasteBurkholderia cepacia