Cold, painful hands prompts a referral to ED
Intense pain in the hands, aggravated by cooler temperatures prompts a GP to immediately refer this patient to the emergency department.
22nd January 2019
Clarrie is a 21-year-old working full-time as a receptionist.
An examination of the capillary network in the nail bed reveals some clues.
She presents with pain in her hands and fingers bilaterally, which has been worsening over the past week.
The pain is now affecting all the fingers of both hands and has prevented her from sleeping the past two nights. It