Diagnostic Tests for Nail symptoms
Diagnostic Test list for Nail symptoms:
The list of diagnostic tests
mentioned in various sources as
used in the diagnosis of Nail symptoms
- Physical examination
- Inspect fingernails and toenails from the side - to determine if there is true clubbing i.e. a loss of the angle between the nail bed and the finger. A subtle sign may be an increased in sponginess of the proximal nail bed.
- Inspect nail for nature of abnormality
- Temperature, pulse rate, blood pressure
- Heart and lung examination to detect any signs of cardiac or respiratory disease as a possible cause of finger clubbing
- Examine for thyroid enlargement, which may be associated with finger clubbing
- Examine for signs of chronic liver disease, which may be associated with finger clubbing
- Examine skin for psoriasis-type rash
- Blood tests
- Full blood count and ESR
- Fasting glucose to detect diabetes mellitus
- Electrolytes, liver function tests and renal function tests
- Thyroid function tests to detect hyperthyroidism and hypothyroidism
- Iron studies
- ANA autoantibodies, to rule out systemic lupus erythematosus
- Blood culture, if there is a fever
- Syphilis serology, if indicated
- Nail scraping samples, if suspect fungal or Candida nail infection - for microscopy and culture.
- Skin or nail biopsy - may be helpful.
- Skin biopsy of rash, if suspect psoriasis
- Sputum microscopy and culture, if there is a fever - which may detect lung disease responsible for Yellow nail syndrome, finger clubbing or blue nails.
- Sputum cytology, if suspect lung cancer - which may cause finger clubbing.
- Radiological investigations
- Doppler studies and possibly arteriography, if suspect peripheral vascular disease (causes nail wasting and poor growth)
- Chest X-Ray looking for signs of heart or lung disease which may cause yellow nails, clubbing or blue nails
- Upper GI series, barium meal and a barium enema - will identify most gastrointestinal disorders (e.g. ulcerative colitis, Crohn's disease, esophageal disease) that may be responsible for finger clubbing.
- Liver ultrasound scan to diagnose cirrhosis which may cause finger clubbing
- CT scan of chest may be used to diagnose bronchiectasis which may cause yellow nail syndrome or finger clubbing
- Nerve conduction tests and electromyogram (EMG) - if suspect peripheral neuropathy which may cause nail atrophy (wasting) and poor growth.
- Arterial blood gases (ABGs) - if nail clubbing is suspected.
- Pulmonary function tests - if nail clubbing is suspected.
- ECG- if nail clubbing is suspected
- Cardiac catheterization - may be required to diagnose cyanotic congenital heart disease which may cause finger clubbing.
- Angiocardiography - be required to diagnose cyanotic congenital heart disease which may cause finger clubbing.
- Bronchoscopy - may be required to diagnose lung cancer which may cause finger clubbing.
- Thoracentesis (aspiration of fluid from the cavity surrounding the lungs) - may be required to diagnose empyema which may cause finger clubbing.
Conditions listing medical symptoms: Nail symptoms:
The following list of conditions
have 'Nail symptoms' or similar
listed as a symptom in our database.
This computer-generated list may be inaccurate or incomplete.
Always seek prompt professional medical advice about the cause
of any symptom.
Select from the following alphabetical view of conditions which
include a symptom of Nail symptoms or choose View All.
Conditions listing medical complications: Nail symptoms:
The following list of medical conditions have 'Nail symptoms'
or similar listed as a medical complication in our database.
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