clubbing..or lovibonds sign..or hippocratic fingers( he ws the first to describe clubbing as a sign of illness)
increase in lovibond angle( onychodermal agle) > 160 degrees
how to check?
1.look tangetially with fingers at ur eye level
2.eliciting fluctuation in the nail bed
3.schamroths sign
4.digital index ( circumference at nail bed / circumference at the distal interphalangeal jt...and then take avg of all the fingers..if its > 1 then clubbing)
Drum stick appearance- congenital cyanotic heart diseases and bronchiectasis
Parrot beak appearance- bronchogenic carcinoma
INDEX FINGER is usually affected first
acute clubbing ( within 10-14 days) -lungabscess and empyema thoracis
(clubbing is also reversible in these 2 conditions)
PSUEDO clubbing- due to resorption of sub periosteal resorption of terminal phalanges seen in
leprosy
scleroderma
hyperparathyroidism
acromegaly
PAINFULL clubbing-CA lung, SABE and lung abscess
was diagnose April 17,2015 and find out I'm HIV positive.I was scared because there is no cure for HIV/AIDS but today some people still don't believe that there is cure for HIV, it can only be cured through Africans root and herbs,and our doctor's here in USA few of them know about the African herbal medicine can cure Hiv but they chooses to hide it from us just to make a sales of medical expertise. I did a research online finding way to get rid of my disease,I saw a comment about a herbal doctor on internet Name Dr itua ,who has cured several disease with his powerful herbal medicine, I contacted him on whats-app, chat with him explain my self to him.He said he can cure hiv perfectly well , he gave me his request which i send to him. within 5 days he sent me the herbal medicine through ups courier delivering service And told me how to take the medicine for 2 weeks to get cured,I did for 2 weeks, within this 7 days i notice a very big change in my health and i new some thing great has happened then i went to confirm my result after finishing the herbal medicine for two weeks it was absolutely negative.The doctor who new i was hiv positive was asking me how come i am negative, what did it took to get cure and were did i get this medicine from and how did i get rid of it I told him every thing about the herbal medicine that cure me. imagine doctor telling me not to let anyone know about it,I wasn't shock though i knew they know about the herbal cure but chose to hide it in other to make sales on medicals expertise,if you are HIV positive Or other disease such as,Sickle Cell,Cancer,Hiv,Herpes,Shingles, Hepatitis B,Liver Inflammatory,Diabetes,Fibroid,Parkinson's,Alzheimer’s disease,Bechet’s disease,Crohn’s disease,Cushing’s disease,Heart failure,Multiple Sclerosis ,Epilepsy Dupuytren's disease,Desmoplastic small-round-cell tumor Diabetes ,Coeliac disease, Ataxia,Arthritis,Amyotrophic Lateral Scoliosis,Syndrome Fibrodysplasia Ossificans ProgresS sclerosis,Seizures,Adrenocortical carcinoma.Asthma,Allergic diseases,,Copd,Glaucoma., Cataracts,Macular degeneration,Cardiovascular disease,Lung disease.Enlarged prostate,Osteoporosis.Autism,Fibromyalgia,Fluoroquinolone Toxicity,Dementia.,Lyme Disease,,Non Hodgkin Lymphoma,Skin Cancer,Uterine Cancer,Prostate Cancer Dercum,Lupus,Hpv,Weak Erection,Infertility,fibromyalgia,Chronic Diarrhea,Get Your Ex Back,Als,SYPHILIS,Colo-Rectal Cancer,Blood Cancer,Breast CANCER,Lung Cancer,Prostate Cancer,Autism,Brain Cancer,Genetic disease,Epilepsy, Parkinson's disease,.. please contact my savior drituaherbalcenter@gmail.com or WHATSAPP number +2348149277967..
ReplyDelete