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Physical Findings| Volume 120, ISSUE 11, P940-941, November 2007

Clubbing of the Digits

      The original description of clubbing of the digits, one of the most important clinical signs in all of medicine, is attributed to Hippocrates (460 BC).
      • Martinez-Lavin M.
      Exploring the cause of the most ancient clinical sign of medicine: finger clubbing.
      Clubbing continues to fascinate students, clinicians, and researchers, as evidenced by 165 articles on clubbing published from 1975 to August of 2006.
      • Martinez-Lavin M.
      Exploring the cause of the most ancient clinical sign of medicine: finger clubbing.
      Clubbing is easy to recognize in its advanced stages compared with the early stages, as evidenced by only moderate agreement among experienced clinicians on the presence of clubbing.
      • Myers K.A.
      • Farquhar D.R.
      The rational clinical examination Does this patient have clubbing?.
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      References

        • Martinez-Lavin M.
        Exploring the cause of the most ancient clinical sign of medicine: finger clubbing.
        Semin Arthritis Rheum. 2007; 36 (Epub 2007 Feb 5): 380-385
        • Myers K.A.
        • Farquhar D.R.
        The rational clinical examination.
        JAMA. 2001; 286: 341-347
        • Spicknall K.E.
        • Zirwas M.J.
        • English III, J.C.
        Clubbing: an update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance.
        J Am Acad Dermatol. 2005; 52: 1020-1028
        • Cheng T.O.
        A unique eponymous sign of finger clubbing (Schamroth sign) that is named not only after a physician who described it but also after the patient who happened to be the physician himself.
        Am J Cardiol. 2005; 96: 1614-1615
        • Maslovsky I.
        • Gevel D.
        What causes clubbing?.
        Am J Med. 2005; 118: 1350-1351