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Is my Schamroth test suggestive of nail clubbing ?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a schamroth test, and I have a very small window. I am a bit concerned. Please help.

Thank you.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Nail clubbing may be present when oxygen saturation is low or if there is a prolonged increase in reduced hemoglobin. Each clinical test, including Schamroth’s test, has its limitations, so it should not be solely relied upon. Clubbing can sometimes occur without any underlying disease. It is recommended to have an arterial blood gas test done. Please send photos of your fingers and toes.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Is an arterial blood gas test the same as pulse oximetry? I had a physical a month ago, and I know my pulse oxygen level was 99 percent. I have attached photos of my hands.

Hello,

Welcome back to icliniq.com.

I have gone through the attachments (attachment removed to protect patient identity). It does not appear to be clubbing. Oximetry and other parameters are normal.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Hello,

Welcome back to icliniq.com.

You are most welcome. No, it is not clubbing. So, do not worry.

Thanks and regards.

Medically reviewed byDr. K. Shobana

Published At January 21, 2018
Reviewed AtJune 4, 2026

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