Clubbing of the fingers or toes is a general symptom of numerous diseases and disorders like lung cancer, heart defects at birth, chronic lung infections, heart chamber and heart valve infections, celiac disease (an autoimmune disease of the small intestine that prevents it from absorbing gluten from food), cirrhosis of the liver, Graves’ disease (an autoimmune disease that causes the thyroid gland to overproduce hormones), several types of cancer, including liver and gastrointestinal cancers.


Here, this activity allows the user to check whether the patient has clubbing or not.



Simulation Type

Range, using graphics

Gender Specific



Grade 0 : Normal Fingers

Grade 2: Increase in the normal 160° angle between the nail bed and the proximal nail fold[2] 


     The system will display a pair of hand and three display panels for displaying side view, top view, and schamroth test.     

     When user clicks on the finger on the top image, its side view, top view, and schamroth test will display on the panel given below.        

     By observing, user can detect whether the patient having clubbing or not.