Splinter hemorrhages

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Fingernail hemorrhage

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

• You notice splinter hemorrhages in the absence of recent trauma to the nail

Your doctor will examine you to determine the cause of the splinter hemorrhages. Medical history questions documenting splinter hemorrhage in detail may include:

• When did you first notice this?
• Have you had trauma to the nail(s) recently?
• Do you have a known diagnosis of endocarditis, or has endocarditis been suspected by your health care provider?
• What other symptoms are also present, such as shortness of breath, fever, general ill feeling, muscle aches?

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

Laboratory studies may include:

• CBC
• ESR
• Blood cultures

In addition, your health care provider may order:

• Chest X-ray
• Echocardiogram
• ECG

After seeing your health care provider:

You may want to add a diagnosis related to splinter hemorrhages to your personal medical record.

Review Date: 02/09/2006
Reviewed By: Frederic F. Little, M.D., Department of Allergy and Pulmonary/Critical Care Medicine, Boston University School of Medicine, Boston, MA. Review provided by VeriMed Healthcare Network.