Cyanosis is a blue or purplish tinge to the skin, lips and lining membranes of the mouth, indicating a lack d oxygen in the blood. Cyanosis is a finding based on observation, not a laboratory test. Cyanosis can be divided into two categories, central and peripheral. The central type is seen when arterial blood is deoxygenated or an abnormal hemoglobin exists. This situation is physically manifest by skin and mucous membrane involvement. Peripheral cyanosis is due to an abnormally high amount of oxygen extraction in the periphery due to slow peripheral blood flow. All physiologic states of decreased peripheral blood flow may lead to cyanosis.

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