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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 includes:

  • 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.

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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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