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Primum Non Nocere

I do not own the rights of these photos. Have fun studying!.. =)

CLUBBING

Angle between nail plate and proximal nail fold greater than 180 degrees.

Important causes of clubbing in the adult:

  • Lungs
    • Lung Cancer
    • Bronchiectasis
    • Pulmonary Fibrosis
    • COPD IS NOT A CAUSE OF CLUBBING (if you seen clubbing in a COPD patient, think lung cancer)
  • Heart
    • R to L shunts
    • Endocarditis
    • Pericarditis

(Source: stanfordmedicine25.stanford.edu)

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Ecuador