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Question

I'm 62, female. The third finger on my left hand turned dark purple along the front of the finger around to the back. The tip of the finger was very pale and numb. I had not bruised or injured myself. The dark purple faded within a few hours and my finger returned to normal. Was this likely a blood clot? I have no insurance. Is this something I need to worry about? Thank you, XXXXXXX XXXXXXX

Submitted: 22 days and 11 hours ago.
Category: Health
Value: $18
Status: CLOSED
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Gender: Female
Age: 62

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Posted by Lisa, MSN, FNP-BC, CCRN 22 days and 11 hours ago.

Info Request

Hello; Thank you for writing in today. I want to provide you with the best information, so I have a few questions. I hope you understand. Any other medical conditions? Do you smoke? How long in total was the symptoms? Were you out in the cold or under any emotional stress? Please let me know. Lisa

22 days and 11 hours ago.

Reply

I have periods of atrial fibrilation every day that last a couple of hours. I'm otherwise very healthy. Don't smoke or take any medications. I have been under emotional stress. I was in a chilly apartment when I noticed my purple finter. I don't know for how long it had been purple. I did notice it began to fade about 30 minutes later. Four hours later it was gone.

Posted by Lisa, MSN, FNP-BC, CCRN 22 days and 11 hours ago.

Answer

Hello; Thank you for writing in today. This is most likely a vascular issue, which could include a clot. Since you have a history of afib, you are at risk for clot formation; therefore, I would have to strongly recommend evaluation, particularly since you are not on any medications. Sometimes people with Afib require anticoagulation treatment to reduce their risk of clot formation. Now, with this being said, there is a condition known as Raynaud's disease. This condition can manifest in only one finger and is often triggered by stress and cold. Raynaud's is a reasonable possibility; however, again, I would recommend evaluation, especially since you have a history of Afib. I realize that insurance is an issue. Would you like some assistance trying to find some low or discount medical services in your area? If so, let me know. If you have any additional questions or concerns, please let me know. Lisa

22 days and 11 hours ago.

Reply

I have had the tips of my finger go white when I was cold in the past in winter so I know about Reynauds symdrom. Although my finger tip did do the same thing, my fingers have never turned purple before. So this was new.

 

The heart condition puts me at risk for a stroke? Is this correct. I was once hospitalized overnight for afib in 2004.

Posted by Lisa, MSN, FNP-BC, CCRN 22 days and 11 hours ago.

Answer

Yes, Afib does increase the risk of stroke. In your case, you need to have access to routine care, even if it is just routine physicals and follow up. Would you like some assistance with trying to locate services? Lisa

22 days and 10 hours ago.

Reply

I'm in Toronto Canada where I also of course have to insurance and am not a part of their system. I also about two months ago had a short period of really crushing horrible pains in my chest that made my neck and chin hurt. At first I thought it was a cramp in my back but it was in my chest. I tried to stand up but was too dizzy. I passed completely in about just one or two minutes. I'm pretty sure it was in my heart. I'm starting to think I've at risk to die even. Please believe me that I am not making up any of this.

Posted by Lisa, MSN, FNP-BC, CCRN 22 days and 10 hours ago.

Answer

I absolutely believe you and I too would be concerned about your cardiac health. May I ask why you are not part of the Canadian Health Care System? Lisa

22 days and 10 hours ago.

Reply

I'm an american. I'm up here working with a psychotherapist that I had met in the states. It's a long story but I have recently run out of money due to the collapse of the economy and real estate and no longer can support myself with real estate. So I'm working with a therapist in a way that has been helping reduce my anxiety load. So after my money ran out, I've taken housecleaning jobs to support myself. I'm very poor these days. There are walk in clinics here that only cost $40 or $50 dollars.

 

I'm thinking I should go. I don't know what else those horrible pains could have been but a heart attack. But there was no after effect. Does that sometimes happen? The damage to the heart is from lack of oxygen but if it was over so quickly, then no damage to my heart. Still the afib happens daily. Thank you for helping me. I haven't known what to do.

Posted by Lisa, MSN, FNP-BC, CCRN 22 days and 10 hours ago.

Answer

If you can afford the walk in clinic, I would recommend going for evaluation. When someone has severe chest pain, yes, it can be from a heart attack. Some people can actually have heart attacks without ever seeking assistance. However, this type of heart attack is detectable on an EKG. Heart attacks without intervention tend to leave permanent changes on EKGs. This would be easily identifiable with a simple EKG. At this point, go to the clinic, if you can afford it. Also, check with the health system. Canada does have some options for foreigners. You don't really know what options you have for care, if you don't ask. Lisa

22 days and 10 hours ago.

Reply

Thank you for the push. I think I need to at least go in person to a clinic and see what they say. Thank you.

 

No need to respond. I will get up my courage and go next week.

Thank you!

Rebekah

Accepted Answer

You're welcome. Glad I could convince you to go. Lisa

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Expert: Lisa, MSN, FNP-BC, CCRN
Pos. Feedback: 100.0 %
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Answered: 10/30/2009

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