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ANSWER

A reminder of some of the causes of clubbing in children:

Pulmonary
– Cystic Fibrosis
– Bronchiectasis
– Abcess, chronic pneumonia, empyema
– Interstitial lung disease
– tuberculosis
– Sarcoidosis
– Neoplasms
– AVM, hepatorenal syndrome

Cardiac
– Cyanotic heart disease, SBE

Haematological
– Thalassemia

Gastrointestinal
– Celiac, inflammatory bowel disease (IBD), SI lymphoma, cirrhosis

Other
– Thyrotoxicosis
– Hodgkins disease
– Familial

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