maybe the patient was just in a stage of hypothermia. If your exam did not show any significant abnormality then it is obvious that is not vascular related. 

On Tue, Oct 9, 2012 at 1:58 PM, Williams, David M. <[log in to unmask]> wrote:

Did you check cap refill at the nail bed?  Absent? Delayed? Normal?

Could you tell if patient was adequately hydrated?

Just trying to piece together the puzzle.


David M. Williams, MS, RDCS, RVT
SC Cardiovascular Surgery
Carolinas Medical Alliance
Suite B-300 805 Pamplico Highway
Florence, SC 29505
843-676 2762 (fax)
[log in to unmask]

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Paul J Graham
Sent: Tuesday, October 09, 2012 1:07 PM
To: [log in to unmask]
Subject: Re: Cold Legs and Feet, without Significant Arterial disease?

Maybe I should Specify a little better, The patient had Cold feet and legs ...Temperature not sure, but they felt very cool to the touch. I didnt see any Raynaud's peaks but I didnt do a Cold immersion test of any kind and He didnt mention having symptoms from being in any kind of cold environment that would correlate with that. And as far as neurogenic coudl a nerve issue cause actual Temperature of the Leg to change ? Im not saying it can't however please if you know how that works id love to figure that out.
And last but not least...JASON, Oddly enough he did kinda have duck feet and skinny legs...Maybe they were a duck!

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