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Doctor insights on: Splinter Hemorrhages

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Can coughing hard give you splinter hemorrhages?

Can coughing hard give you splinter hemorrhages?

Unlikely: Splinter hemorrhages in nail bed is caused by trauma to nail bed, infection, autoimmune disease or endocarditis. See your primary care doctor. ...Read more

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I've had splinter hemorrhages since 13 years old (just discovered what they are) and I'm 28 now. I do have P. Vera. Might P. Vera have been the cause?

I've had splinter hemorrhages since 13 years old (just discovered what they are) and I'm 28 now. I do have P. Vera. Might P. Vera have been the cause?

Splinter hemorrhages: Are not uncommon. Most common cause is repeated trauma (it can be trivial) to the nail bed. The classic case is when they are seen in endocarditis. I did look up and found a case of p. vera that presented as extensive splinter hemorrhages. So I guess, yes, it might be the cause in your case. ...Read more

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Does splinter hemorrhages from endocarditis go away?

Does splinter hemorrhages from endocarditis go away?

Splinter hemorrhages: The hemorrhages should disappear with treatment and cure of the endocarditis. ...Read more

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Does a low platlet count of 75000 causes splinter hemorrhages ?

Petechiae: Punctate cutaneous red marks, characterize very low platelets...75k is low, i've seen it a lot, and cannot recall ever seeing petechiae at that level (not low enough). Splinter hemorrhage is a sine of bacterial endocarditis...A lesson from physical diagnosis, but I have also never seen in a 35 year career. ...Read more

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Splinter hemorrhages, janeway lesions and osler nodes. Is this endocarditis?

Do not self diagnose: Too important a question and a disease to be looking for a diagnosis over the internet or to self diagnose Have it checked thoroughly by a cardiologist or infectious disease specialist ASAP!!!! ...Read more

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Do vitamin or mineral deficiencies cause splinter hemorrhages?

Do vitamin or mineral deficiencies cause splinter hemorrhages?

Negative: Splinter hemorrhages are caused by endocarditis, vasculitis, and trauma. (how did you know the term "splinter hemorrhage" ?) ...Read more

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What can cause splinter hemorrhages and urticaria-like rashes?

What can cause splinter hemorrhages and urticaria-like rashes?

Sx's: This can't be diagnosed with the information that is available. A history, physical examination & other studies may be needed to determine cause/causes. ...Read more

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Hi, I have splinter hemorrhages on both thumbs but have no other symptoms. Can this be endocarditis.

Hi, I have splinter hemorrhages on both thumbs but have no other symptoms.  Can this be endocarditis.

Possible - unlikely: Splinter hemorrhages can be a sign of endocarditis, although they will generally then appear with lots of other signs and symptoms. However, they can also appear with various other conditions. In isolation, as you are describing, endocarditis sounds very unlikely but further evaluation may be worthwhile. ...Read more

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Can harmless heart murmur cause splinter hemorrhages?

Can harmless heart murmur cause splinter hemorrhages?

No: Heart murmur is not a diagnosis, it is a finding on physical examination. Some diseases and defects that cause murmurs have an increased risk of endocarditis and one of the physical examination findings in endocarditis can be splinter hemorrhages. ...Read more

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I've gotten 1 small splinter hemorrhage on 1 fingernail (at top of nail) twice in the last few months. Cause for concern or just normal wear & tear?

I've gotten 1 small splinter hemorrhage on 1 fingernail (at top of nail) twice in the last few months. Cause for concern or just normal wear & tear?

In vast majority of: cases due to nail/finger trauma. (Basis for concern, as 1 piece of diagnostic pattern, is recurring, multiple fingers & toes without apparent basis for injury plus unexplained, non-localizing symptoms & persistent fever for weeks which may be a result/sign of endocarditis or other intravascular infection shedding infected microclots through the arteries & creating the finger splinter hemorrhages.) ...Read more

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Are there any rheumatic diseases that might cause splinter hemorrhages of the finger nails?

Rheumatic heart dis: Rheumatic diseases themselves are not associated with splinter hemorrhage of the nails, but any rheumatic disease such as rheumatic fever that damages the heart valves can lead to bacterial endocarditis which does. The other major cause is injury. ...Read more

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I think I have one splinter hemorrhage on each of my index fingers should I see a doctor about it?

Fever?: I assume you're worried about infective endocarditis and that you're a health care provider? The vast majority of splinter hemorrhages are due to trauma and not related to infection. If you're not having fever, rigors, sweats, anorexia, malaise, and weakness, I'd let it go. ...Read more

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Are splinter hemorrhages under the fingernails always indicative of endocarditis? Some multiple on more than one finger.

See below: Endocarditis is the most serious cause of splinter hemorrhages. Other common cause is trauma to the nail. Down the line are causes like vasculitis, and bleeding diathesis. See this site for more info. http://www.nlm.nih.gov/medlineplus/ency/article/003283.htm ...Read more

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See multiple sxs, incl splinter hemorrhages. local consult with rhematologist. no findings support autoimmune disease. PrImary care still thinks autoi?

See multiple sxs, incl splinter hemorrhages. local consult with rhematologist. no findings support autoimmune disease. PrImary care still thinks autoi?

Autoimmunity: Sometimes an infection can mimic an autoimmune disease, since the infection 'triggers' an activation of the immune system. I would be interested to know exactly 'what' symptoms you're referring to. If you have splinter hemorrhages, then it could be endocarditis. I've seen cases that mimic autoimmune disease since the bacteria trigger things off. Make sure the doc is considering that too. ...Read more

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Can secondary raynaud's cause splinter hemorrhages under nails and petechiae on the backs of hands?

Could be: It depends on the other medical associations and the cause of the raynaud's if with a ctd this could be causing the lesions depending on the overlap. ...Read more

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I have splinter hemorrhages + swollen posterior calf from Achilles to gastrocnemius. Area also cold when palpated. Can endocarditis cause this?

Given the history: Presented I'd recommend you go to the ER ASAP for evaluation. Bacterial endocarditis can be seen with splinter hemorrhages, a DVT if that calf needs to be ruled out as well. ...Read more