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Doctor insights on: Capillary Nail Refill Test

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How accurate is capillary refill test for pad or dvt?

How accurate is capillary refill test for pad or dvt?

Not the best.: Capillary refill is essentially an observation of how long it takes for blood to return into small vessels usually in the nail beds or feet. It is not accurate and it is not used for dvt. It is observed in pad. There are much more specific, informative and diagnostic tests for both DVT and PVD such as duplex scans and abi's and even cta's. ...Read more

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Would 5 or 6 drinks consumed one time in 100 days read above the cut off levels for nail etg test?

Would 5 or 6 drinks consumed one time  in 100 days read above the cut off levels for nail etg test?

I doubt it, no etg: Drinking on a single occasion should not spike etg levels, which are more accurate in detecting differences in low, medium and high levels of drinking on a regular basis. The study looked at diiferences between subects who drank from 10 to 30 drinks per week, and for those who drank at those levels, etg levels corresponded to the low, medium ang high level groups. ...Read more

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If I have nail change does it mean I have HIV been having nail change for long time but test negative 178 days?

If I have nail change does it mean I have HIV been having nail change for long time but test negative 178 days?

Not necessary at all: Why do you assume that if you have a "nail change" that you have acquired HIV. What nail change do you have. There are several associated with HIV but these are also changes seen in many patients with chronic illness. There isn't a pathognomonic nail change which defines HIV. Hopefully you take some reassurance. But if you are worried please seek the input of your doctor. ...Read more

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I was completely sober for almost 100 days....then I drank approx 6 drinks on one ocassion. Would that show up on hair or nail test?

I was completely sober for almost 100 days....then I drank approx 6 drinks on one ocassion. Would that show up on hair or nail test?

Yes it can: It could show up. It would depend on the drug screen used in the testing. Nails take up to 6 months to grow out fully. So, the evidence is there. Testing is quite sophisticated, and if ethanol is included is the screen used, it can be seen. ...Read more

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My 3yr old has been chronically tired so I took her 2 a paediatrician. He found nothing. Ijust noticed her capillary refil time is very long 9 seconds?

My 3yr old has been chronically tired so I took her 2 a paediatrician. He found nothing. Ijust noticed her capillary refil time is very long 9 seconds?

Odd statement: I would expect a kid with a 9 second capillary refill time to be near death. Perhaps your definition of the maneuver is quite different than mine. I doubt that would be the case in a kid who is functional at any level. If you are concerned the doc has missed something find another and get a second opinion. ...Read more

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My friends nails are a dark purple, and she said that "all her regular check up tests were fine". I know this isn't normal, but she's a "DR phobe". :)?

My friends nails are a dark purple, and she said that "all her regular check up tests were fine". I know this isn't normal, but she's a "DR phobe". :)?

Finger nails: Actually, finger nail color tells us a lot about your health and purple finger nails should be taken seriously... Keep us posted... Dr.Sibley ...Read more

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I am also suffering with nails problem they are becoming thin does this problem is related with fatty liver grade2 I found it by sonography test ones?

I am also suffering with nails problem they are becoming thin does this problem is related with fatty liver grade2 I found it by sonography test ones?

Brittle nails: May be nutritional deficiency iron, zinc . Food intolerences like gluten sensitivity can impact as there is poor nutrition.Psoriasis has nail abnormalities as well . Liver disease can impact on nails, through malnutrition and other factors - i.e people with psoriasis are a risk for fatty liver. http://www.nhs.uk/conditions/nail-abnormalities/pages/Introduction.aspx ...Read more

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What does a doctor feel for during a finger nail fluctuation test?

What does a doctor feel for during a finger nail fluctuation test?

See below: Here's everything there is to know about the test: http://www.Meddean.Luc.Edu/lumen/meded/medicine/pulmonar/pd/clubbing.Htm. ...Read more

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How far does the testing for a hair follicle and nail drug test go back? I am getting conflicting answers on both tests. I have been told 90-120 days or longer for hair follicle depending on length of hair and up to 1 1/2-2 1/2 years for nail testing.

How far does the testing for a hair follicle and nail drug test go back? I am getting conflicting answers on both tests. I have been told 90-120 days or longer for hair follicle depending on length of hair and up to 1 1/2-2 1/2 years for nail testing.

Varies: The hair testing numbers are about right, with hair growing about 1/2 inch per month, and the average length of hair tested being 1 1/2 inches, which is about 90 days. Nails give 4-6 months at usual lengths. If you never cut them, or have very very long nails, you could get 1-2 years, but that is not common. ...Read more

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Can poor periphery circulation and capillary refill cause elevated bilirubin and liver enzyme levels?

Can poor periphery circulation and capillary refill cause elevated bilirubin and liver enzyme levels?

Not likely: Peripheral circulatory disturbance is not expected to cause liver disease. Do not use Acetaminophen if you have liver disease. Please consult your doctor for evaluation. ...Read more

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I have had a total nail avulsion and my doctor is unavailable for pain med refill. Help?

I have had a total nail avulsion and my doctor is unavailable for pain med refill. Help?

NSAIDS: Try over the counter anti inflammatory medications such as advil (ibuprofen) (assuming you don't have take any blood thinners or have an ulcer. You can take 4 advil (ibuprofen) 3 times a day with food. This is the prescription dosing. These injuries can be very sensitive for 4-6 weeks. ...Read more

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Horizontal white lines across 3 nails appeared two weeks ago. Blood/urine test came back normal. No deficiency. Possible it's stress related?

Horizontal white lines across 3 nails appeared two weeks ago. Blood/urine test came back normal. No deficiency. Possible it's stress related?

Horizontal line nail: If lines are sort of spotty and don't span entire width of the nail, most likely it's due to some minor trauma. These grow out with the nail. If lines span the entire width of the nail, and don't grow with the nail this may be related to a protein deficiency or a number of systemic conditions. The list of possible conditions long. Please have this evaluated by a dermatologist. ...Read more

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My nails have gradually turned white with a dark pink strip at the tip. Tests have ruled out liver complication and no kidney infection.now what??

My nails have gradually turned white with a dark pink strip at the tip.  Tests have ruled out liver complication and no kidney infection.now what??

Dermatologist: If your doctor has done blood tests to make sure that your liver and kidney function are normal then the next step would be to see a dermatologist to see if there is some underlying skin condition in the nail beds causing the discoloration. I hope you find an answer soon. ...Read more

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My legs are always red, and have a capillary refill time of 5 or more seconds. I am 18, and it started when i was 12. They turn purple and blotchy!

My legs are always red, and have a capillary refill time of 5 or more seconds. I am 18, and it started when i was 12. They turn purple and blotchy!

Poor circulation: You may have a vascular disease (there are many) which causes poor arterial flow to you feet and hands (further points from the heart). You need to see a vascular specialist. ...Read more

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How long does the toe nail fungus test take?

How long does the toe nail fungus test take?

Depends on the lab.: The labs i've worked with typically take one week to send a preliminary report back after receiving the nail sample, with a full growth final report in up to four weeks. ...Read more

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3 jears very thick and jellow nails on hands and feet. A lot of pain. Doctors test say no fungus. No diagnose after 3 jears. Please help.

3 jears very thick and jellow nails on hands and feet. A lot of pain. Doctors test say no fungus. No diagnose after 3 jears. Please help.

Nail deformity: Do you have any skin disorder? Sometimes they can affect your nails and deform them. Did you consult a dermatologist? You may need some tests and a complete examination of your skin. ...Read more

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Hi doctor , my friend is a female , she's 19 , she bleeds from her nails , eyes and ear without any previous signs . All her tests are ok .

Hi doctor , my friend is a female , she's 19 , she bleeds from her nails , eyes and  ear without any previous signs . All her tests are ok .

Bleeding . . .: All tests can't be ok, just the ones that were checked. I say this b/c it's not normal to bleed from nails, eyes & ear w/o trauma/injury. If she's already been to her Family Doc, ask for referral to Hematologist to evaluate for bleeding disorders. Be sure to bring all medications, both over-the-counter & prescription, along w/dietary supplements to consultation. Don't wait! ...Read more

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3 yr old has horizontal nail dents on all fingers had scarlet fever 2 mos ago and cold 3 weeks ago. Is it related? What do we need to do/test?

3 yr old has horizontal nail dents on all fingers had scarlet fever 2 mos ago and cold 3 weeks ago. Is it related? What do we need to do/test?

Nail lines: Yes, horizontal nail lines may be related to scarlet fever. These lines are called beau's lines and they happen any time something life fever, infection, medications or other causes interrupt the normal growth of the nail. These will eventually grow out. There are other conditions that can cause nail plate changes like bacterial or fungal infections. Please show your baby to a dermatologist. ...Read more