Browse categories and answer follow-up questions to refine your symptom profile.
Triage priorities
Immediate threats
Open fracture or gross contamination
Active hemorrhage
Devitalized tissue
Neurovascular compromise
Capillary refill delay
Absent Doppler signal
Compartment syndrome risk
Pain out of proportion
Pain with passive stretch
Tendon entrapment or rupture
Inability to actively extend DIP
Inability to actively flex DIP
Time critical actions
If ischemia suspected then immediate reduction and splint
Recheck perfusion after reduction
Emergent hand surgery consultation if perfusion not restored
If open fracture then antibiotics within 60 minutes
Irrigation and sterile dressing
Urgent hand surgery consultation
If rotational deformity then reduction attempt in ED
Recheck finger cascade after reduction
Hand surgery consultation if persistent malrotation
Analgesia and immobilization first
Comfort measures
Elevation
Hand above heart level
Remove rings early
Splint before transport to imaging when unstable
Neutral wrist when possible
IP joints supported
Neurovascular checks
Perfusion
Capillary refill
Compare with contralateral
Post reduction recheck
Temperature and color
Pallor or mottling
Cyanosis
Sensation
Two point discrimination
Radial and ulnar digital nerves
Compare with contralateral
Light touch
Volar pulp
Dorsal fingertip
Motor
FDP function
DIP flexion with PIP stabilized
Compare strength
FDS function
PIP flexion with other fingers held in extension
Compare strength
Extensor function
Active DIP extension
Active PIP extension
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.