Splinter hemorrhages

Considerations:
Splinter hemorrhages appear as narrow red to reddish brown hemorrhages beneath the nails. They run in the direction of nail growth and are named splinter hemorrhage because they have the appearance of a splinter beneath the fingernail. The hemorrhages are caused by microscopic clots that damage the small capillaries under the nails.

Splinter hemorrhages are associated with endocarditis and may represent vessel damage from inflammation of the blood vessels ( vasculitis ) or microscopic clots that damage the small capillaries (microemboli).

Common Causes:

Note: There may be other causes of splinter hemorrhages. Use the Symptom Analysis option to explore the possible explanations for splinter hemorrhages, occurring alone or in combination with other problems.

Home Care:
There is no particular care for splinter hemorrhages. Strictly adhere to your health care provider's instructions for the treatment of endocarditis .

Call Your Healthcare Provider If:

  • you notice splinter hemorrhages!

Note: Splinter hemorrhages generally are a late-appearing symptom in endocarditis . It is probable that other symptoms causing a visit to the health care provider will have appeared before the appearance of splinter hemorrhages.

What to Expect:
The medical history will be obtained and a physical examination performed.

Medical history questions documenting splinter hemorrhage in detail may include:

  • When did you first notice this?
  • Do you have a known diagnosis of endocarditis , or has this diagnosis been suspected by your health care provider?
  • What other symptoms are also present?

Physical examination may include special attention to the heart and blood circulation systems.

Laboratory studies may include:

In addition, your health care provider may order:

After seeing your health care provider:
You may want to add a diagnosis related to splinter hemorrhages to your personal medical record.