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11 Possible Causes for Narrow Hands, Peripheral Pulse Decreased, Retrosternal Chest Pain

  • Coronary Atherosclerosis

    Peripheral artery disease where narrowing of the arteries affects the legs, feet, arms, and hands—typically predicts CAD.[uihc.org] The predominant symptom seen in coronary artery disease patients is chest pain (stable angina) that is retrosternal in location and commonly radiates to the left arm and neck[symptoma.com] The images show the diameter of the coronary arteries and any blockages narrowing them. Coronary angiography is an invasive test.[emedicinehealth.com]

  • Aortic Valve Stenosis

    As the narrowing becomes more severe, however, they may develop fatigue, shortness of breath, palpitations (sense of racing heart beat), fainting, or chest pain during sports[merckmanuals.com] […] aortic valve stenosis become irritable and have poor food intake, sweating while they are eating, difficulty breathing, an unnatural pale or gray color to the skin, cool hands[merckmanuals.com]

  • Ergotism

    Symptoms are typically claudication and a burning sensation in the lower limbs, decreased distal pulses, and skin that is cool to the touch with a bluish discoloration in[visualdx.com] Multifocal segmental narrowings are evident in both deep femoral arteries (D). Angiographic findings in the left hand.[synapse.koreamed.org] In the gangrenous form of modern ergotism, patients are mentally intact, and peripheral vasculature is the target of the disorder, due to alpha-adrenergic stimulation.[visualdx.com]

  • Dissecting Aortic Aneurysm

    pulses (femoral/carotid/etc) equal Dissecting aortic aneurysm - Clinical signs Blood pressure discrepancy between arms Decrease in a femoral/carotid pulse[quizlet.com] He had long arms and legs, and large, narrow hands and feet.[ncbi.nlm.nih.gov] retrosternal chest pain – anterior dissection interscapular pain – descending aorta severe pain (‘worst ever-pain’) (90%) sudden onset (90%) sharp (64%) or tearing (50%) migrating[lifeinthefastlane.com]

  • Aortic Aneurysm and Dissection

    […] include the following: Leukocytosis: Stress state Decreases in hemoglobin and hematocrit values: Leaking or rupture of the dissection Elevation of the blood urea nitrogen[emedicine.medscape.com] He had long arms and legs, and large, narrow hands and feet.[ncbi.nlm.nih.gov] retrosternal chest pain – anterior dissection interscapular pain – descending aorta severe pain (‘worst ever-pain’) (90%) sudden onset (90%) sharp (64%) or tearing (50%) migrating[lifeinthefastlane.com]

  • Ischemic Peripheral Neuropathy

    The locations of the ulcers and associated clinical findings, such as edema, callus or decreased pulses, help characterize the predominant cause of an ulcer.[clevelandclinicmeded.com] […] strokes are described by the 5 most common lacunar syndromes: pure motor hemiparesis, sensorimotor stroke, ataxic hemiparesis, pure sensory stroke, and dysarthria-clumsy hand[cdemcurriculum.com] pain/discomfort (typically retrosternal, “pressure”, “discomfort”, “tightness”, “burning” or “heaviness”) Metabolic products such as lactate, serotonin and adenosine accumulate[pathophys.org]

  • Endocarditis

    […] pain and decreased pulses.[emedicine.medscape.com] […] reddish-brown lines of blood that run underneath the nails painful raised lumps that develop on the fingers and toes painful red spots that develop on the palms of your hand[nhs.uk] Chest pain. Most common symptom. Sharp and constant, retrosternal. Leaning forward while sitting may alleviate pain, this is considered a hallmark sign of pericarditis.[micunursing.com]

  • Idiopathic Neonatal Atrial Flutter

    The infant or young child with the disease is often tachypneic, tachycardic with weak peripheral pulses, and has cool extremities and hepatomegaly.[transplantbuddies.org] The physician quickly places the paddles on the patient's chest to record the rhythm; this shows a narrow-complex regular tachycardia at 210 bpm.[quizlet.com] Blood pressure is low with a decreased pulse pressure. In extreme cases, patients may present in shock.[transplantbuddies.org]

  • Thickened Earlobes-Conductive Deafness Syndrome

    MASSES and BOWEL LOOPS FEMORAL PULSES and DISTAL AORTA : Decreased or absence femoral pulses can be found in several disorders: Dissecting Aortic Aneurysm Coarctation of Aorta[kumc.edu] Malformations of the hands and feet are also commonly seen with this condition.[aboutface.ca] Tracheitis presents with retrosternal chest pain, made worse by coughing. DYSPNEA: Difficult, labored breathing.[kumc.edu]

  • Dissecting Aneurysm

    pulses (femoral/carotid/etc) equal Dissecting aortic aneurysm - Clinical signs Blood pressure discrepancy between arms Decrease in a femoral/carotid pulse[quizlet.com] He had long arms and legs, and large, narrow hands and feet.[ncbi.nlm.nih.gov] retrosternal chest pain – anterior dissection interscapular pain – descending aorta severe pain (‘worst ever-pain’) (90%) sudden onset (90%) sharp (64%) or tearing (50%) migrating[lifeinthefastlane.com]