Cool extremities

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Cool extremities refers to a condition where the hands and feet are colder than the core of the body

Differential Diagnosis of Cool Extremities

• Acrocyanosis
• Beta blockers
• Cardiogenic shock
• Chronic fatigue syndrome
• Claudication
• Congestive heart failure
• Embolization
• Hemodialysis
• Hypoplastic left heart syndrome
• Hypothermia
• Hypothyroidism
• Hypovolemic shock
• Limb ischemia
• Myxedema
• Neurogenic shock
• Peripheral arterial disease
• Postural orthostatic tachycardia syndrome
• Raynaud's phenomenon
• Rilmenidine
• Starvation
• Systemic vasoconstriction
• Vasovagal syncope
• Ziac

In contrast to the patient with cardiogenic shock and hypovolemic shock, the patient with septic shock will often have warm extremities.