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34 Possible Causes for Pallor, Prolonged Capillary Refill

  • Hypovolemia

    Prolonged capillary refill ( 2 seconds) , especially when combined with tachycardia, is more specific, although it may be difficult to measure.[openanesthesia.org] . * Compensated by constriction of vascular bed * Blood pressure maintained * Normal respiratory rate * Pallor of the skin * Slight anxiety Stage II Hemorrhage Involves 15[sphynxcatvp.nocturna.org] Prolonged capillary refill time (pressing on the nail) and orthostatic hypotension are not reliable signs of mild to moderate hypovolemia 5 .[ehealthstar.com]

  • Factor X Deficiency

    On admission to the special care nursery, he was noted to be grunting and pale, with a prolonged capillary refill.[nature.com] Physical examination revealed pallor of the conjunctivae, with no features of symptomatic anaemia. A small gingival bleeding wound was noted.[afjho.com] The infant received vitamin K and was doing well until 16 h of life, when the physician was called due to an infant temperature of 94.6  F, pallor and increased occipital[nature.com]

  • Compartment Syndrome

    Congestion of the digits with prolonged capillary refill time.[en.wikipedia.org] Pallor Pallor is a good indicator of whether the extremity is being perfused, distal to the cast or injury.[ausmed.com] Compartment Syndrome Diagnosis: Five P’s (pulselessness, pallor, paralysis, paresthesia, and pain) Risk Factors: orthopedic trauma, most commonly tibia fractures Regional[openanesthesia.org]

  • Esotropia

    Immunocompromised children should avoid cardioversion in a prolonged capillary refill are normal and without fever or respiratory symptoms or significant nasal hemorrhage[smj.org.sa] Eyelid retraction Fourth cranial nerve palsy Duane anomaly Cranial nerve paralysis Rod-cone dystrophy Amblyopia Ptosis Hearing impairment Retinal dystrophy Optic disc pallor[mendelian.co] Progressive visual loss Corneal opacity Generalized seizures Intellectual disability, borderline Paroxysmal dyskinesia Congenital ptosis Visual impairment Upper eyelid retraction Pallor[mendelian.co]

  • Purpura

    capillary refill Altered conscious state Irritability (inconsolable crying or screaming) Lethargy (including as reported by family or other staff) Important principles in[rch.org.au] Fever, lethargy, weight loss, bone pain, joint pain, pallor, lymphadenopathy and hepatosplenomegaly are characteristically absent.[aafp.org] One month before the onset of symptoms, she was evaluated for symptoms of decreased energy and pallor. Evaluation revealed low serum iron and ferritin concentrations.[journals.lww.com]

  • Uterine Inversion

    She was pale, with a heart rate of 150 beats min –1 , a thready pulse, prolonged capillary refill time, and an unrecordable arterial pressure.[academic.oup.com] On Examination: Her general condition was good, no pallor. Pulse rate – 82bpm; Blood pressure – 110/70mmHg.[jemds.com] She was in agonizing pain with severe pallor, with pulse rate of 155 bpm and blood pressure of 70/50 mm Hg.[jpgo.org]

  • Hypovolemic Shock

    Prolonged capillary refill ( 2 seconds) , especially when combined with tachycardia, is more specific, although it may be difficult to measure.[openanesthesia.org] Excessive perspiration Vomiting Symptoms Symptoms may include: Anxiety or agitation Cool, clammy skin Confusion Decreased or no urine output General weakness Pale skin color (pallor[mountsinai.org] If the 5th toe is cold with a prolonged capillary refill, I progress to the other toes, up the foot, then the leg.[hawaii.edu]

  • Renal Infarction

    Symptoms due to shock such as hypotension, tachycardia and prolonged capillary refill time may be present.[symptoma.com] There was no pallor, icterus, or pedal edema. There was no visible peristalsis or distention of abdomen.[indianjnephrol.org]

  • Upper Gastrointestinal Hemorrhage

    capillary refill times (CRT 2 s) Decreased skin turgor Reduced jugular venous pressure (JVP) Sunken eyes Dry lips, mouth and tongue Tachycardia Postural hypotension Absolute[oxfordmedicaleducation.com] Classification of haemorrhagic shock 1 Examination Inspect: Pallor suggests significant anaemia Jugular venous pressure: reduced in hypovolaemia, but often difficult to assess[geekymedics.com] A secondary aim is to look for signs of underlying disease and significant comorbid conditions - for example: Pallor and signs of anaemia should be sought.[patient.info]

  • Hemorrhagic Disease of the Newborn

    capillary refill time and feeble peripheral pulses.[medresearch.in] Signs and symptoms of the patients were convulsions (47%), feeding intolerance and poor sucking (47%), irritability (33%) and pallor (20%).[ncbi.nlm.nih.gov] It can also present with convulsion, poor sucking, irritability and pallor.[alliedacademies.org]

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