12th March 2024

A 45-year-old female presents to the acute medical team with high-grade fever and lethargy.

A 45-year-old female presents to the acute medical team with high-grade fever and lethargy. Bloods performed on triage reveal raised inflammatory markers. Upon examination, you note the presence of purple-coloured nodules over her distal tips of her toes. She mentions that these are tender on palpation. Auscultation reveals coarse bilateral basal crackles, and on hearing an early diastolic murmur, which was not present on previous records, you become rather concerned. Which of the following terms best describes the phenomenon present on this patient’s toes? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.