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- $Unique_ID{BRK01447}
- $Pretitle{}
- $Title{What Does Looking at the Fingers and Nails Tell a Physician?}
- $Subject{nails examination special procedures procedure hands fingers nail
- clubbing heart lung disease clubbed fungus infection anemia psoriasis
- rheumatoid arthritis thyroid splinter hemorrhage weak soft brittle splitting
- fingernail fingernails finger fungal infections splintering hand}
- $Volume{P-20}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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-
- What Does Looking at the Fingers and Nails Tell a Physician?
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- QUESTION: I get a great kick out of my refined and distinguished physician.
- He always pretends he likes holding my hands, when I know he is really taking
- a good look at my fingers and nails. It is a great game, but I always wanted
- to ask him what he was looking for. Perhaps you can tell me? Thank you for
- considering this question.
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-
- ANSWER: Gallantry in the examination room! Not bad, and a great technique to
- permit a close observation of the nails, which, while not providing a complete
- diagnosis, may provide some interesting clues to medical conditions. Not all
- changes have medical significance though, so not to worry. However, here are
- a few. Since the days of Aristotle, physicians have noted a condition called
- clubbing as being associated with underlying heart or lung disease. Clubbed
- nails are bulbous in shape and soft near the cuticle. Thick nails may reveal
- a fungus infection, while nails that curve like a spoon, or soft, pale nails
- may result from an anemia. Psoriasis, rheumatoid arthritis and thyroid
- problems may also cause nail changes. If a splinter hemorrhage can be
- observed beneath the nail in the nail bed, an infection of a heart valve may
- be the cause. However, we have no answers for weak, soft, brittle or
- splitting nails, and neither vitamin or topical therapies seem to be
- effective.
-
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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