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Digital Clubbing



    • Look For

    • Enlargement of the distal segments of the fingers and / or toes, due to proliferation of connective tissue.
    • Causes of Digital Clubbing

    • Cyanotic congenital heart disease
    • Pulmonary malignancy - lung cancer, lymphoma, mesothelioma
    • Chronic infection / inflammation - bronchiectasis, lung abscess, empyema, interstitial lung disease, coeliac disease, IBD, infective endocarditis
    • Cirrhosis


  • Clubbing was first described by Hippocrates in 400BC after noting the sign in a patient with empyema.
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