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Difference between revisions of "Physical examination"
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Peripheral: | Peripheral: | ||
*Clubbing (lung causes DDx: abscess, bronchiectasis, cancer, | *Clubbing (lung causes DDx: abscess, [[bronchiectasis]], [[cancer]], decreased O2, empyema, [[fibrosing alveolitis]]). | ||
**Clubbing should be viewed with suspicion in patient with [[COPD]], as it should not be seen in the context of pure [[emphysema]].<ref>URL: [http://medicine.ucsf.edu/education/resed/Chiefs_cover_sheets/Clubbing.pdf http://medicine.ucsf.edu/education/resed/Chiefs_cover_sheets/Clubbing.pdf]. Accessed on: 23 September 2010.</ref> Clubbing in COPD is relatively rare; thus, in the context of COPD and smoking it should prompt a search for an occult [[lung cancer]].<ref>URL: [http://www.merck.com/mmhe/sec04/ch045/ch045a.html http://www.merck.com/mmhe/sec04/ch045/ch045a.html]. Accessed on: 23 September 2010.</ref> | **Clubbing should be viewed with suspicion in patient with [[COPD]], as it should not be seen in the context of pure [[emphysema]].<ref>URL: [http://medicine.ucsf.edu/education/resed/Chiefs_cover_sheets/Clubbing.pdf http://medicine.ucsf.edu/education/resed/Chiefs_cover_sheets/Clubbing.pdf]. Accessed on: 23 September 2010.</ref> Clubbing in COPD is relatively rare; thus, in the context of COPD and smoking it should prompt a search for an occult [[lung cancer]].<ref>URL: [http://www.merck.com/mmhe/sec04/ch045/ch045a.html http://www.merck.com/mmhe/sec04/ch045/ch045a.html]. Accessed on: 23 September 2010.</ref> | ||
*Cyanosis - fingernails. | *Cyanosis - fingernails. | ||