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Blue hands Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Blue hands. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you noticed that you have blue hands?
  2. Is it intermittent or constant?
  3. Is the blueness limited to one hand?

    Why: may suggest an arterial or venous thrombosis.

  4. Is blueness is limited to extremities?(e.g. blue hands)

    Why: this indicates a lack of blood supply to those parts of the body and may indicate exposure to cold, Raynaud's disease, Raynaud's phenomenon, peripheral vascular disease, left ventricular failure or shock.

  5. If also blue tongue, is there a history of drug ingestion?

    Why: e.g. potassium chlorate, sulfanilamide and coal tar may cause hemoglobin abnormalities and thus central cyanosis.

  6. Past medical history?

    Why: possible causes of Raynaud's phenomenon include rheumatoid arthritis, lupus erythematosus, systemic sclerosis, polyarteritis nodosa, Buerger's disease, polycythaemia, leukemia, polymyositis , dermatomyositis.

  7. Medications?

    Why: beta-blocker blood pressure medications and ergotamine can cause Raynaud's phenomenon.

  8. Cigarette smoking?

    Why: aggravates Raynaud's phenomenon.

  9. Occupational history?

    Why: vibrating machinery workers are at risk of Raynaud's phenomenon.

  10. Blue tongue?

    Why: may indicate central cyanosis which is due to a lack of oxygenated hemoglobin in the blood vessels and thus may indicate high altitude, emphysema, chronic bronchitis, pulmonary embolism, cyanotic congenital heart disease, polycythaemia or hemoglobin abnormalities.

  11. Significant shortness of breath?

    Why: should consider a lung or heart origin for the blue hands e.g. cyanotic congenital heart disease, pulmonary embolism, pulmonary fibrosis or pulmonary emphysema.

  12. Symptoms of Raynaud's phenomenon?

    Why: e.g. sequential discoloration of the digits from pallor to blueness to redness upon exposure to cold. When fingers become red they are painful.

Conditions listing medical symptoms: Blue hands:

The following list of conditions have 'Blue hands' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Blue hands or choose View All.

 

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