Cool extremities

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List of terms related to Cool extremities

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]

Synonyms and keywords: Cold extremities; cold feet; cold hands and feet; cold hands

Overview

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

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

• Aortic dissection
• Cardiac tamponade
• Disseminated intravascular coagulation
• Myocardial infarction
• Pulmonary embolism

Common Causes

• Cardiogenic shock
• Peripheral artery disease
• Raynaud's disease
• Septic shock

Causes by Organ System

Cardiovascular	No underlying causes
Chemical/Poisoning	No underlying causes
Dental	No underlying causes
Dermatologic	No underlying causes
Drug Side Effect	No underlying causes
Ear Nose Throat	No underlying causes
Endocrine	No underlying causes
Environmental	No underlying causes
Gastroenterologic	No underlying causes
Genetic	No underlying causes
Hematologic	No underlying causes
Iatrogenic	No underlying causes
Infectious Disease	No underlying causes
Musculoskeletal/Orthopedic	No underlying causes
Neurologic	No underlying causes
Nutritional/Metabolic	No underlying causes
Obstetric/Gynecologic	No underlying causes
Oncologic	No underlying causes
Ophthalmologic	No underlying causes
Overdose/Toxicity	No underlying causes
Psychiatric	No underlying causes
Pulmonary	No underlying causes
Renal/Electrolyte	No underlying causes
Rheumatology/Immunology/Allergy	No underlying causes
Sexual	No underlying causes
Trauma	No underlying causes
Urologic	No underlying causes
Miscellaneous	No underlying causes

Causes in Alphabetical Order

• Acebutolol
• Acetylsalicylic acid overdose
• Acrocyanosis
• Acute kidney injury
• Acute limb ischemia
• Acute tubular necrosis
• Alcohol withdrawal
• Alprenolol
• Amlodipine
• Anemia
• Anxiety
• Aortic dissection
• Arterial insufficiency
• Atenolol
• Bacterial sepsis
• Beta blockers
• Bleeding
• Buerger's disease
• Burns
• Caduet
• Cardiac tamponade
• Cardiogenic shock
• Carteolol
• Chronic fatigue syndrome
• Chronic venous disease
• Circulatory disorders
• Claudication
• Coarctation of the aorta
• Cockayne syndrome
• Cold exposure
• Congenital heart disease
• Congestive heart failure
• Coronary heart disease
• Dehydration
• Diabetes insipidus
• Diabetes mellitus
• Disseminated intravascular coagulation
• Drug overdose
• Embolization
• Emetophobia
• Esmolol
• Frostbite
• Glycogen storage disease type I
• Heart attack
• Heart failure
• Hemodialysis
• Hemothorax
• Hydrocodone overdose
• Hyperhidrosis
• Hypoplastic left heart syndrome
• Hypothermia
• Hypothyroidism
• Hypovolemia
• Hypovolemic shock
• Idiopathic systemic capillary leak syndrome
• Isocarboxazid
• Lactic acidosis
• Lupus
• Malnutrition
• Marine turtle poisoning
• Meningococcal disease
• Meperidine
• Metoprolol
• Myocardial infarction
• Myxedema
• Myxedema coma
• Nalbuphine
• Neonatal shock
• Neurogenic shock
• Night terror
• Nightmare
• Oxprenolol
• Oxymorphone
• Panic attack
• Pentamidine
• Peripheral artery disease
• Phenelzine
• Pindolol
• Postural orthostatic tachycardia syndrome
• Pratesi syndrome
• Propranolol
• Pulmonary embolism
• Rasagiline
• Raynaud's disease
• Raynaud's phenomenon
• Restless legs syndrome
• Rilmenidine
• Scleroderma
• Selegiline
• Septic shock
• Shock
• Sjogren's syndrome
• Snakebite
• Sotalol
• ST elevation myocardial infarction
• Starvation
• Subclavian steal syndrome
• Syncope
• Systemic vasoconstriction
• Takayasu arteritis
• Tarsal tunnel syndrome
• Thyroid disease
• Timolol
• Tranylcypromine
• Trauma
• Vasopressors
• Vasospasm
• Vasovagal syncope
• Vicodin
• Wide complex tachycardia
• Ziac

Differential Diagnosis of the Patient with Cool Extremities and Sweating or Diaphoresis, or "A Cold Sweat"

• Alcohol withdrawal
• Anxiety
• Nightmare
• Night terror
• Panic attack
• Shock
• ST Elevation Myocardial Infarction
• Trauma
• Vagal episode

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