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]
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
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
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.