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What can be diagnosed with the help of the image, or put into differential?

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Dumbell shaped terminal phalanx aka clubbing Dd Lung disease: Lung cancer, mainly non-small-cell (54% of all cases), not seen frequently in small-cell lung cancer (< 5% of cases) Interstitial lung disease most commonly idiopathic pulmonary fibrosis Complicated tuberculosis Suppurative lung disease: lung abscess, empyema, bronchiectasis, cystic fibrosis Mesothelioma of the pleura Arteriovenous fistula or malformation Sarcoidosis Heart disease: Any disease featuring chronic hypoxia Congenital cyanotic heart disease (most common cardiac cause) Subacute bacterial endocarditis Atrial myxoma (benign tumor) Tetralogy of Fallot Gastrointestinal and hepatobiliary: Malabsorption Crohn's disease and ulcerative colitis Cirrhosis, especially in primary biliary cirrhosis Hepatopulmonary syndrome, a complication of cirrhosis Others: Graves' disease (autoimmune hyperthyroidism) – in this case it is known as thyroid acropachy Familial and racial clubbing and "pseudoclubbing" (people of African descent often have what appears to be clubbing) Vascular anomalies of the affected arm such as an axillary artery aneurysm (in unilateral clubbing)

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Grade 4 clubbing ie drum stick appearance....possibilities of bronchiectasis lung ca.....hepatic disease heart disease.....

Clubbing finger Liver, lung,hearts diseases Adv ECG 2D echo, cbc lft rft thyroid profile lipid profile USG abdoman

Dumbbell shaped terminal phalanx aka clubbing. Lung disease.

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CLUBBING OF NAILS + CYANOSIS = CONGENITAL CYANOTIC HEART DISEASE LT ---- > RT SHUNT CHRONIC LUNG DISEASE = COPD BRONCHIAL ASTHMA WITH RESPIRATORY FAILURE

Clubbing-cynotic heart disease,visceral abcess(abd/chest),ild,inflammatory bowel disease,malignancy ....

Rheumatoid arthritis or psoriatic arthritis .

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