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What colors would be abnormal for the nailbeds? What would each abnormality signify? Describe what to...

What colors would be abnormal for the nailbeds? What would each abnormality signify? Describe what to do if you are unable to palpate a pedal pulse. What supplies or equipment should also be assessed?

Expert Solution

Abnormal colors of nail beds are -

yellow nails - can be indicative of lymphatic system problem , diabetes ,liver problems, nicotine from cigerrete , respiratory problems such as chronic bronchitis

purplenails - oxygen problems, circulatory problems, congenital problems .

white spots on nails - iron and zinc deficiency , arthritis

white areas under nails - fungal infection

Red nails - brain hemorrhage , heart disease ,lung disease,stroke

darkening of nails - can be indicative of kidney problems

blue nails. - cyanosis , Wilson disease ,raynauds disease , septicemia

green nails - allergic to cleaning agents , bacillus infection

grey nails - arthritis ,edema , malnutrition

brown / Red lines on nails - endocarditis , parasitic infection called trichinosis

Brown spots under nails - psoriasis

palpation of Dorsalis pedis artery - Dorsalis pedis anterior to foot and lateral to extensor haulicis tendon in first intermetatarsal space within 1cm of bony prominence of navicular bone , Ask the patient to extend the toe that helps in elevate this landmark and make easier to check pulse

Equipment used are -

Hand held Doppler can be used for unpalpable sites , quantifying progressive disease ,

Hand held Doppler signal must be multiphasic with

three distinct audible components - forward flow , reverse flow and forward flow - triphasic

Two component signal - biphasic

One component signal - monophasic

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