Ref: Skin Colors
- Cyanotic
- Hyperpigmented
- Jaundiced
- Pallid
- Others: carcinoid, cherry
red
- COLD PALMS:
- Peripheral cyanosis:
• Cold.
• Obstruction.
• LVF and shock.
• Decreased cardiac output.
- Central cyanosis:
• Polycythemia.
• Altitude.
• Lung dz.
• Met-, sulphaemoglobinaemia.
• Shunt.
- Addison's.
- Drugs.
- Hemochromatosis ["bronze diabetes"].
- Malabsorption.
- Direct: DROP:
• Dubin-Johnson/ Diffuse hepatocellular dz [drug or viral
hepatitis, cirrhosis].
• Rotor.
• Obstruction.
• Pregnant.
- Indirect: ABCDEFGHI:
• Anemia [hemolytic, pernicious].
• Breast feeding jaundice.
• Craig-Najjar.
• Diffuse hepatocellular dz [drug or viral hepatitis, cirrhosis].
• EPO insufficiency [thalassemia, etc].
• Fetus [physiologic jaundice of newborn].
• Gilbert's.
• Heart failure.
• Internal bleeding.