A 66-year-old man is brought to the office by his daughter for medical evaluation. The patient reports no chronic medical conditions but has not seen a doctor in many years. He doesn't take any medications. The patient is a retired veteran who recently relocated to be closer to his daughter. He is a nonsmoker who does not consume alcohol or illegal drugs. On room air, oxygen saturation is 98 percent. On physical examination, normal breath sounds are heard throughout both lungs. The exhibit displays the results of a hand examination. The patient's hand findings are most suggestive of which of the following underlying conditions?

Question

Quizplus · Accepted Answer

Eductional Objective: Pulmonary cancer is the most common cause of digital clubbing in adults (especially lung adenocarcinoma). In general, clubbing is a symptom of chronic cardiopulmonary disease associated with hypoxic-inflammatory signaling activation (eg, chronic chest infections, right-to-left shunting).

A 66-Year-Old Man Is Brought to the Office by His