Intended for healthcare professionals

Endgames Spot Diagnosis

Cold feet

BMJ 2016; 354 doi: (Published 05 September 2016) Cite this as: BMJ 2016;354:i4584
  1. Andrew McDonald Johnston, consultant intensivist1,
  2. Joseph Singleton, tissue viability nurse2
  1. 1Royal Centre for Defence Medicine, Queen Elizabeth Hospital Birmingham, UK
  2. 2Queen Elizabeth Hospital Birmingham, UK
  1. Correspondence to: A McD Johnston amcdjohnston{at}

A man in his 70s presented to hospital with delirium and hypothermia. He had a history of alcohol misuse and had not been seen for three days. He was found in the bathtub with wet clothing. The outside temperature on the days before admission was 10°C. He had loss of sensation in his feet with areas of ulceration …

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