Clinical exam skills: Hand signs
In the third part of our series about clinical exam skills, Ian Bickle takes you through typical questions about hand signs
The first aspect of clinical assessment is observation. This often begins before formal examination during the history taking process. Signs identified in the hands may trigger the diagnostic process. Hands offer excellent spot diagnoses in clinical exams of all levels and as talking points for follow up questioning of systemic diseases.
Below are a number of common examples.
(2b) Finger clubbing can be graded depending on its stage of development.