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Renal Exam
 
 

Palm Inspection

 
 
 
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Palmar Crease Pallor

  • Look For

  • Loss of colour in the creases of the palm.
  • Causes of Palmar Crease Pallor

  • Anaemia
  • Low cardiac output, due to cardiac disease
  • Peripheral shutdown, due to increased sympathetic activity

Xanthomata

  • Look For

  • Red to yellow lipid-filled nodules, papules or plaques, which may overly tendons, extensor surfaces, flexor surfaces or the palms.
  • Significance

  • Occurs in the setting of hyperlipidaemia or disturbances to lipid metabolism.
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