Cool extremities
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ogheneochuko Ajari, MB.BS, MS [2]
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.
Common Causes
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
- Acetylsalicylic acid overdose
- Acrocyanosis
- Alcohol withdrawal
- Amlodipine
- Anxiety
- Aortic dissection
- Beta blockers
- Bleeding
- Burns
- Caduet
- Cardiogenic shock
- Cardiac tamponade
- Chronic fatigue syndrome
- Claudication
- Congestive heart failure
- Drug overdose
- Embolization
- Emetophobia
- Glycogen storage disease type I
- Heart attack
- Hemodialysis
- Hemothorax
- Hydrocodone overdose
- Hyperhidrosis
- Hypoplastic left heart syndrome
- Hypothermia
- Hypothyroidism
- Hypovolemic shock
- Isocarboxazid
- Limb ischemia
- Meperidine
- Myocardial infarction
- Myxedema
- Nalbuphine
- Neurogenic shock
- Night terror
- Nightmare
- Oxymorphone
- Panic attack
- Pentamadine
- Peripheral arterial disease
- Phenelzine
- Postural orthostatic tachycardia syndrome
- Pulmonary embolism
- Rasagiline
- Raynaud's phenomenon
- Rilmenidine
- Selegiline
- Snakebite
- Starvation
- ST elevation myocardial infarction
- Tamponade
- Tranylcypromine
- Trauma
- Systemic vasoconstriction
- Vasopressors
- Vasovagal syncope
- Vicodin
- Ziac
In contrast to the patient with cardiogenic shock and hypovolemic shock, the patient with septic shock will often have warm extremities.
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