Cardiovascular cause of clubbing
Drum stick type of clubbing is seen in
What are the causes of painful clubbing ?
Chronic obstructive phlebitis of upper extremity as a result of chronic I.V drug addiction (eg. heroin).
Causes of clubbing limited to lower extremity ?
In infected abdominal aortic aneurysm : sometimes in PDA with reversal of shunt.
What is the cause of acute clubbing ?
Development of clubbing within 10 to 14 days of onset of illness.This is seen in lung abcess
What are the causes of pseudoclubbing?
Psuedoclubbing is seen in conditions associated with subperiosteal bone resorption of terminal phalanges. Here there is absence of soft tissue proliferation and increased curvature of nails and is seen in.
- Infective endocarditis
- Cyanotic CHD
- Myxoma of atria
- Aneurism of major vessels such as aorta and subclavian artery
- Malabsorption
- IBD - Crohn's, ulcerative colitis
- Cirrhosis of liver particularly biliary cirrhosis
- Broochiectasis.
- Lung abscess.
- Bronchogenic carcinoma.
- Empyma thoracis.
- Fibrosing alveolitis.
- Pleural mesothelioma.
- Pulmonary arteriovenous fistula.
- Cystic fibrosis.
- Post tuberculous bronchiectasis
- Diffuse B/L lung fibrosis
- Empyema
- Congenital
- Thyrotoxicosis
- Acromegaly
- Unidigital clubbing is seen in - sarcoidosis, trauma, gout.
- Pachydermoperiostosis
- Thyroid acropachy
Drum stick type of clubbing is seen in
- Congenital cyanotic heart diseases, e.g. Fallot's tetralogy.
- Bronchiectasis.
What are the causes of painful clubbing ?
- Bronchogenic carcinoma.
- SBE.
- Presubclavian coarctation of aorta (left sided clubbing).
- Bronchogenic carcinoma.
- Cervical rib.
- Aneurysm of subclavian artery.
- Ervthromelalgia.
- Arteriovenous fistula of brachial vessels.
- Hereditary (if bilateral).
- Local trauma.
- Rarely from median nerve injury' or deposition of tophi (gout).
- Sarcoidosis.
Chronic obstructive phlebitis of upper extremity as a result of chronic I.V drug addiction (eg. heroin).
Causes of clubbing limited to lower extremity ?
In infected abdominal aortic aneurysm : sometimes in PDA with reversal of shunt.
What is the cause of acute clubbing ?
Development of clubbing within 10 to 14 days of onset of illness.This is seen in lung abcess
What are the causes of pseudoclubbing?
Psuedoclubbing is seen in conditions associated with subperiosteal bone resorption of terminal phalanges. Here there is absence of soft tissue proliferation and increased curvature of nails and is seen in.
- Scleroderma.
- Acromegaly.
- Hyperparathyroidism.
- Leprosy.
