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Diagnostic Pointers in Cardiology - Extremities

Author: Dr. Subrahmanyam Karuturi, MD

 

Diagnostic PointersDiagnosisAssociated Cardiac Diagnosis
Simian lineDown SyndromeASD
Hyperextensible jointsOsteogenesis ImperfectsAortic Regurgitation
Nicotine finger stainsChain SmokersCoronary Artery Disease
Leg edema Congestive Heart Failure
Raynaud's phenomenonSystemic SclerosisPulmonary Hypertension, Pericarditis, Myocarditis
Clubbing, splinter hemorrhages Endocarditis
Osler's nodes, Janeway lesions Bacterial Endoocarditis
Sudden pallor, pain, coldness Peripheral Embolization
Reversed differential cyanosis, clubbing - Hands are cyanotic and clubbed but feet are normal Transposition of Great Arteries
Liver Palms - thenar and hypothenar erythemaChronic Hepatic CongestionCardiac Cirrhosis, Cirrhotic Cardiomyopathy, Fibrinous pericarditis, Wide pulse pressure
Mainline track linesAddictsTricuspid Regurgitation, Septic Emboli, Endocarditis
Cyanosis and clubbing of central mixing Right-to-Left Shunts, Pulmonary Arteriovenous Fistulas, Drainage of Inferior Vena Cava into left atrium
Differential cyanosis and clubbing - the reversed shunt limits cyanosis and clubbing to the feet, but spares hands PDA with Pulmonary Hypertension
Ulnar deviationRheumatoid ArthritisPericardial, Valvular or Myocardial Disease
Tightly tapered and contracted fingers, ischemic ulcers, hypoplastic nailsSystemic SclerosisPulmonary Hypertension, Myocardial Disease, Pericarditis, Valvulopathy
Arachnodactyly, hyperextensible joints, flat feetMarfan's SyndromeAortic Dilation, Aortic Regurgitation, Mitral Valve Prolapse

 

Diagnostic Pointers in Cardiology
 

Diagnostic Pointers in Cardiology - Face Diagnostic Pointers in Cardiology - Extremities
Diagnostic Pointers in Cardiology - Eyes Diagnostic Pointers in Cardiology - Body Appearance
Diagnostic Pointers in Cardiology - Skin Diagnostic Pointers in Cardiology - Gestures
Diagnostic Pointers in Cardiology - Thorax Diagnostic Pointers in Cardiology - Gait
Diagnostic Pointers in Cardiology - Abdomen Back to Cardiac Physical Diagnosis Index