Why so blue? Patient appears off colour after a fall

It all started 15 years earlier
Skin discolouration

This elderly man took his heart meds until he was blue in the face, literally.

The 81-year-old presented to an ED in Galway, Ireland, after a fall. He had a history of AF and hypertension and was taking apixaban, ramipril, bisoprolol, amlodipine and amiodarone.