Hands Flashcards

1
Q

what can you look for in the hands when the palms are facing downwards

A

splinter haemorrhages and clubbing

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2
Q

what can you look for in the hands when the palms are facing upwards (cardio)

A

colour, temperature, sweaty, janeway lesions, oslers nodes, tar staining, xanthomata, capillary refill time

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3
Q

what do splinter haemorrhages (red/brown streaks in nail bed) indicate

A

bacterial endocarditis

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4
Q

what does clubbing indicate (cardio)

A

infective endocarditis, cyanotic congenital heart disease

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5
Q

what do janeway lesions indicate

A

bacterial endocarditis

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6
Q

what do oslers nodes indicate

A

infective endocarditis

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7
Q

what is normal capillary refil time and what does prolonged time indicate

A

normal is <2 seconds , prolonged may suggest hypovolaemia

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