Concluded Case

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


Concluded answer

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Heart disease TOF

Heart disease

Heberdens nodules s/o O A

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Hypertrophic osteoarthropathy

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


Dumbbell shaped terminal phalanx aka clubbing. Lung disease.

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

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)

Very nicely explained.

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