My hands go purple with bright orange, spots in cold weather, covers whole hand and wrist, doc checked pulses and were fine, what could this be?

Raynauds : Raynauds is the temporary spasm of the arteries going to your hand. This can be triggeres by exposure to cold among othet things. Palpable pulses are ok especially when it is not happening. If this occurs often or is painful, you might want to get it checked out. You need a dopplet type vascular study to fully assess your circulation.

Cold hands: Sometimes having cold hands that turn colors, typically either white or purple in cold weather are signs of a relatively common problem referred to raynaud's disease. I am not sure what to make of the orange spots however, my apologies.