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Clubbing

• Loss of angle of nail bed
• increased curvature of nail
• fluctuation of nail bed

Causes

• Lung
  • Bronchial Carcinoma
  • Fibrosing Alveolitis
  • Bronchiectasis
  • Mesothelioma
  • Cystic Fibrosis
  • Empyema
• Bowel
  • Cirrhosis
  • Inflammatory Bowel Disease
  • GI Lymphoma
  • Malabsorption
• Cardiac
  • Infective Endocarditis
  • Congenital cyanotic heart disease
  • Myxoma
• Thyroid Acropachy
• Hereditary (idiopathic)
• Unilateral
  • Axillary artery aneurysm
  • Brachial arteriovenous malformation