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Medical Forum / General / Cardiology / June 2005

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symptons  and   finger nails

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cas - 18 Jun 2005 20:05 GMT
Is it correct that one of the symptoms that cardiologist look for is when
diagnosing heart disease is to look at the patients finger nails to see if
they are  dished or spoon shape nails.I cant see how this can mean anything,
but perhaps someone can tell me if i am correct . thank you..cas
Terrence Chun, MD - 18 Jun 2005 21:18 GMT
> Is it correct that one of the symptoms that cardiologist look for is
> when diagnosing heart disease is to look at the patients finger nails
> to see if they are  dished or spoon shape nails.I cant see how this
> can mean anything, but perhaps someone can tell me if i am correct .
> thank you..cas

The nails can give a lot of clues about other disease processes in the body.  We will
often look for a bluish color to the nailbeds to suggest low blood oxygen levels, a
clubbed look to the nails in chronic low oxygen states, stripes to suggest malnutrition
or toxicities, or spooning in vitamin or iron deficiency states.  Those are just a few off
the top of my head.

- TC, md
 Pediatric cardiology, pacing & electrophysiology
William Wagner - 18 Jun 2005 21:40 GMT
> > Is it correct that one of the symptoms that cardiologist look for is
> > when diagnosing heart disease is to look at the patients finger nails
[quoted text clipped - 14 lines]
> - TC, md
>   Pediatric cardiology, pacing & electrophysiology

 The size of the moons were considered of import in chinese medicine.  
That is the white part at the bottom of your nail.   Lots of moons good
lesser not so good. This just a sign of general heath.  Of course there
is more like balance of Yin and Yang.  Chinese medicine was looked at by
Bill Moyers  and is available on VHS etc.  The  Program was called " The
Power of Chi."     Don't ask  ;)))  Good introduction .

Bill  a lover of Chinese and Japanese  stuff.

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Terrence Chun, MD - 22 Jun 2005 05:17 GMT
>   The size of the moons were considered of import in chinese medicine.
>    
[quoted text clipped - 5 lines]
>
> Bill  a lover of Chinese and Japanese  stuff.

My wife always laments the that her lunulae are so small compared to mine.

- TC, md
 Pediatric cardiology, pacing & electrophysiology
Andrew B. Chung, MD/PhD - 19 Jun 2005 12:25 GMT
> > Is it correct that one of the symptoms that cardiologist look for is
> > when diagnosing heart disease is to look at the patients finger nails
[quoted text clipped - 10 lines]
> - TC, md
>   Pediatric cardiology, pacing & electrophysiology

Would add "splinter hemorrhages" when suspecting cardioembolic events.

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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Terrence Chun, MD - 27 Jun 2005 05:46 GMT
>> > Is it correct that one of the symptoms that cardiologist look for
>> > is when diagnosing heart disease is to look at the patients finger
[quoted text clipped - 10 lines]
>
> Would add "splinter hemorrhages" when suspecting cardioembolic events.

That's a good one.  Slipped my mind.

- TC, md
 Pediatric cardiology, pacing & electrophysiology
Andrew B. Chung, MD/PhD - 27 Jun 2005 11:42 GMT
> >> > Is it correct that one of the symptoms that cardiologist look for
> >> > is when diagnosing heart disease is to look at the patients finger
[quoted text clipped - 15 lines]
> - TC, md
>   Pediatric cardiology, pacing & electrophysiology

You probably rarely get consulted for cardiac problems that cause
splinter hemorrhages :-)

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Terrence Chun, MD - 28 Jun 2005 07:11 GMT
> You probably rarely get consulted for cardiac problems that cause
> splinter hemorrhages :-)

Not exactly common, but not entirely rare either.  You might be surprised.

- TC, md
 Pediatric cardiology, pacing & electrophysiology
Andrew B. Chung, MD/PhD - 28 Jun 2005 11:10 GMT
> > You probably rarely get consulted for cardiac problems that cause
> > splinter hemorrhages :-)
>
> Not exactly common, but not entirely rare either.  You might be surprised.

I am surprised to hear that from a pediatric electrophysiologist.
Children with lone atrial fibrillation should not be having
cardioembolic events.  However, I can imagine the issue of
anticoagulation coming up with your congenital heart patients.

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129
Robert - 18 Jun 2005 21:18 GMT
> Is it correct that one of the symptoms that cardiologist look for is when
> diagnosing heart disease is to look at the patients finger nails to see if
> they are  dished or spoon shape nails.I cant see how this can mean anything,
> but perhaps someone can tell me if i am correct . thank you..cas

Look up finger clubbing. It can be seen in chronic heart and lung disease.
Then come back and tell us what it says.
Emma Chase VanCott - 19 Jun 2005 00:01 GMT
: Is it correct that one of the symptoms that cardiologist look for is when
: diagnosing heart disease is to look at the patients finger nails to see if
: they are  dished or spoon shape nails.I cant see how this can mean anything,
                    ^^^^^^^^^^^^^^^^^^^^^^^^^^^

B/c you are not a Nurse or Doctor.

:)
cas - 19 Jun 2005 11:09 GMT
> : Is it correct that one of the symptoms that cardiologist look for is
> when
[quoted text clipped - 7 lines]
>
> :)  Emma are you refering to me? ..cas
 
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