COVID-19 toes and fingers seem to present like Raynauds with slight decrease in perfusion, therefore cold sensitivity testing might be appropriate which should include waveform and pressures. 


Carolyn "A master, in the art of living, draws no sharp distinction between his work and his play, his labor and his leisure, his mind and his body, his education and his recreation. He hardly knows which is which. He simply pursues his vision of excellence through whatever he is doing and leaves others to determine if he is working or playing. To himself he always seems to be doing both." Francois-René Chateaubriand  (1768-1848)


On Wednesday, February 10, 2021, 02:49:53 PM CST, Bill Johnson <[log in to unmask]> wrote:


Harvey,  I never had much faith in PPG, for reasons that I admit were probably not science based.
Probably the only thing I used it for was vascular cause of impotence, i e. a low penile/brachial index. 
It was easy to put double stick tape on the probe, explain to the patient  how to place the cuff and the sensor, and then perform the exam without direct contact.
Back then I had a young, pretty LPN
Training with us.
The PBI exam horrified her.  "What if the patient gets an erection during this exam?
I told her to just say "I don't think you needed this exam" and leave
No not an answer to "Covid toes" but viruses attack the entire body-head to toe.  Stay safe everyone 🙏 

On Wed, Feb 10, 2021, 11:06 AM Harvey Wilson <[log in to unmask]> wrote:
Hi all,   

I wanted to ask if anyone has had much experience with adult patients with possible "Covid toes" The past few months I have seen a number of adults with purplish, sometimes painful toes, even some spots which might look embolic. No one has knowingly had the virus but we know how that goes...

PPG's are generally a mix of lower amplitude, absent and normal dichrotic notch. A real mixed bag so I just don't know if there's even anything to be done. Could even be Neurogenic or Raynauds but unlikely.

Any thoughts would be appreciated, thanks!

Harvey

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