Swelling of finger tips

Indication of chronic hypoxia → NOT COPD or Asthma

• NOT COPD or Asthma
• C: , !Cyanotic CHD , Cirrhosis
• L: Lung Cancer and Lung Abscess
• U: Ulcerative Colitis
• B: Bronchiectasis (may causes, naming CF - Cystic Fibrosis)
• B: Benign mesothelioma
• I: !IE - Infectious Endocarditis , IPF - Idiopathic Pulmonary Fibrosis, Pulmonary Fibrosis
• N: Neurogenic tumors
• G: Gastrointestinal diseases

May be arthritis changes too.

Tests:

• Shamroth’s

  

• Lovibond angle (> 180)