Cyanosis classification: Difference between revisions
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Peripheral cyanosis is the blue tint in fingers or extremities, due to inadequate circulation. The blood reaching the extremities is not oxygen rich and when viewed through the skin a combination of factors can lead to the appearance of a [[Blood#Color|blue color]]. All factors contributing to central cyanosis can also cause peripheral symptoms to appear, however peripheral cyanosis can be observed without there being heart or lung failures. Small blood vessels may be restricted and can be treated by increasing the normal oxygenation level of the blood. | Peripheral cyanosis is the blue tint in fingers or extremities, due to inadequate circulation. The blood reaching the extremities is not oxygen rich and when viewed through the skin a combination of factors can lead to the appearance of a [[Blood#Color|blue color]]. All factors contributing to central cyanosis can also cause peripheral symptoms to appear, however peripheral cyanosis can be observed without there being heart or lung failures. Small blood vessels may be restricted and can be treated by increasing the normal oxygenation level of the blood. | ||
===Differential Cyanosis=== | |||
In adults with a large [[PDA]], [[Eisenmenger's syndrome]] may develop with presents as cyanosis due to a [[right-to-left shunt]]. The inversion of the shunt is produced because of the progressive increase in [[pulmonary vascular resistance]]. Severe [[pulmonary vascular resistance]] results in reversal of flow through the ductus, and unoxygenated blood is shunted to the descending [[aorta]], and the toes, but not the fingers, become cyanotic and clubbed, a finding termed differential cyanosis. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 23:07, 29 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Cyanosis can occur in the fingers, including underneath the fingernails, as well as other extremities (called peripheral cyanosis), or in the lips and tongue (central cyanosis).
Classification
Central cyanosis
Central cyanosis is often due to a circulatory or ventilatory problem that leads to poorer blood oxygenation in the lungs or greater oxygen extraction due to slowing down of blood circulation in the skin's blood vessels.
Peripheral cyanosis
Peripheral cyanosis is the blue tint in fingers or extremities, due to inadequate circulation. The blood reaching the extremities is not oxygen rich and when viewed through the skin a combination of factors can lead to the appearance of a blue color. All factors contributing to central cyanosis can also cause peripheral symptoms to appear, however peripheral cyanosis can be observed without there being heart or lung failures. Small blood vessels may be restricted and can be treated by increasing the normal oxygenation level of the blood.
Differential Cyanosis
In adults with a large PDA, Eisenmenger's syndrome may develop with presents as cyanosis due to a right-to-left shunt. The inversion of the shunt is produced because of the progressive increase in pulmonary vascular resistance. Severe pulmonary vascular resistance results in reversal of flow through the ductus, and unoxygenated blood is shunted to the descending aorta, and the toes, but not the fingers, become cyanotic and clubbed, a finding termed differential cyanosis.