It's been some while since I last wrote. I have been busy with Neurology. Well, this patient is a 60 years old Malay man who was admitted to my ward with progressive L sided weakness over a week. He is non toxic looking and there is no stigmata of chronic liver disease. He has been a chronic smoker. To tell the truth, I was rather upset that 2 of my house officers could not come to a conclusion even after I mentioned the gross clubbing in this patient.I hope medical students reading this will practice what has been learned in medical student years.
This is a clear cut case of Ca lung with metastasis to the brain.
What I would like to stress here is - Do not forget the causes of clubbing !
Respiratory :
Ca lung
Pulmonary fibrosis
Bronchiectasis
Chronic suppurative lung diseases
Cystic fibrosis
CVS :
Congenital cyanotic heart disease
Eisenmenger syndrome
Infective endocarditis
GI :
Chronic liver disease (Cirrhosis)
Inflammatory bowel disease
Thyrotoxicosis (pseudoclubbing - acropachy)
11 comments:
thanks =) tis is helpful =)
thank you for listing up the causes according to the system:)
but then there are five types of clubbing.what are they?
I just found your blog. I'm finding very helpful - I love the images. Thanks for taking time to educate us.
Dave
(Mobileintensiveprayerunit.blogspot.com)
Hi,
I am The assistant editor with medicalschool.org. I really liked your site and I am interested in building a relationship with your site. We want to spread public awareness. I hope you can help me out. Your site is a very useful resource.
Please email me back with your URl in subject line to take a step ahead an to avoid spam.
Thank you,
Sofia Rose
sofia.medicalschool.org@gmail.com
Please have a look at our MRCP level podcasting website.
www.MyMedicalPodcasts.co.uk
We provide FREE podcasts from Consultants and Specialist Registrars.
Hope this is helpful.
Hi,
My name is Sharon Ray and I am the assistant editor of Cysticfibrosis.net. I am contacting you today in hopes of developing a relationship with your website; we have seen your site and think your content is great. Cysticfibrosis.net offer a free informational resource to both the general and professional public on this terrible disease.
I hope you show some interest in building relationship, please contact me at sharon.cysticfibrosis.net@gmail.com.
thank you doc! will try to memorize this..
While people may have different views still good things should always be appreciated. Yours is a nice blog. Liked it!!!
..good things are always being appreciated and nice things should always be shared:)
It was once an interesting web with unique frequent post.....hope to see that again soon..
The HOs couldn't think of a cause? I'm a third year medical student from UM and it's a shame to hear about the quality of doctors being produced. Causes of clubbing should be at the tip of your fingers! Well, not literally though. I'm surprised you even had to "mention" gross clubbing to them. So darn obvious! Nice blog btw.
Post a Comment