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    Australian doctor points to Queen Elizabeth II’s mottled hands at Liz Truss meeting as death neared

    A doctor has pointed to the Queen’s frail appearance at her final royal appointment as a sign that she was going to die within days. 

    Dr Deb Cohen-Jones, who lives in Perth, Western Australia, said photos of Queen Elizabeth II‘s hands as she posed alongside the UK’s new Prime Minister Liz Truss at Balmoral Castle in Scotland on Tuesday was a sign of declining health.

    ‘It looks like there is evidence of peripheral vascular disease. It’s a blood circulation disorder that causes the blood vessels outside of your heart and brain to narrow, block, or spasm,’ she told FEMAIL.

    ‘It usually results in heart failure. If your peripheral circulation is that poor, organs aren’t receiving a good blood supply. It can be a sign of multi organ failure.’

    Scroll down for video 

    An Australian doctor has pointed to the Queen’s frail appearance at her final royal appointment as a sign she was going to die within days

    Dr Deb Cohen-Jones said photos of Queen Elizabeth II's purple-tinted hands (pictured) as she posed alongside the UK's new Prime Minister Liz Truss two days ago is a sign of declining health

    Dr Deb Cohen-Jones said photos of Queen Elizabeth II’s purple-tinted hands (pictured) as she posed alongside the UK’s new Prime Minister Liz Truss two days ago is a sign of declining health

    What is peripheral vascular disease?

    Peripheral vascular disease is a slow and progressive circulation disorder.

    Narrowing, blockage, or spasms in a blood vessel can cause PVD.

    PVD may affect any blood vessel outside of the heart including the arteries, veins, or lymphatic vessels. 

    Organs supplied by these vessels, such as the brain, and legs, may not get enough blood flow for proper function. However, the legs and feet are most commonly affected.

    Peripheral vascular disease is also called peripheral arterial disease.

    Some of the well-known symptoms include intermittent pain, which may present as cramps or muscle fatigue, ‘coldness’ of the affected body part, numbness and pins and needles.

    The late Queen’s hands were ‘mottled’ which occurs when the heart is no longer able to pump blood effectively. 

    The blood pressure slowly drops and blood flow throughout the body slows, causing extremities to begin to feel cold to the touch, Crossroads Hospice reported.

    Sadly, Dr Deb confirmed that Queen Elizabeth II ‘would have been in a lot of pain’ if she suffered from the chronic disease because ‘it looks quite severe’.

    There is no way of knowing for sure how long the ‘mottling’ has been there, as the monarch hadn’t been seen in public for some time and often wore gloves. 

    Sadly, Dr Deb confirmed that Queen Elizabeth II 'would have been in a lot of pain' if she suffered from the chronic disease because 'it looks quite severe'

    Sadly, Dr Deb confirmed that Queen Elizabeth II ‘would have been in a lot of pain’ if she suffered from the chronic disease because ‘it looks quite severe’ 

    This official announcement from Buckingham Palace recorded that the Queen has carried out the historic audience

    This official announcement from Buckingham Palace recorded that the Queen has carried out the historic audience

    'The slightly hunched appearance would have been her age and more than likely osteoporosis,' Dr Deb (pictured) said

    ‘The slightly hunched appearance would have been her age and more than likely osteoporosis,’ Dr Deb (pictured) said

    Queen Elizabeth II smiling as she arrives using a stick to view a display of artefacts from British craftwork company, Halcyon Days, to commemorate the company's 70th anniversary in the White Drawing Room at Windsor Castle, Berkshire

    Queen Elizabeth II smiling as she arrives using a stick to view a display of artefacts from British craftwork company, Halcyon Days, to commemorate the company’s 70th anniversary in the White Drawing Room at Windsor Castle, Berkshire

    So it was more than likely her incredibly strong disposition and will to complete the royal engagement that saw her beaming at Liz Truss on Tuesday.

    ‘The slightly hunched appearance would have been her age and more than likely osteoporosis,’ Dr Deb said. 

    Buckingham Palace declared the passing of Britain’s longest-serving monarch aged 96 at 6.30pm on Thursday evening. 

    The Queen used the aide of a walking stick as she welcomed Liz Truss at an audience at Balmoral Castle in Scotland, where she invited the newly-elected leader of the Conservative Party to become prime minister.

    The historic audience was the first time that the 96-year-old monarch, who has faced ongoing mobility issues, has carried out the key duty at her retreat in Aberdeenshire, rather than at Buckingham Palace. 

    It was also the first time she has been pictured since she was seen arriving at the estate on July 21 for her summer holiday. 

    The Queen had been suffering from episodic mobility problems since last autumn, and the decision was taken last week to ask the outgoing and incoming premiers to make the 1,000-mile round-trip to see her. 

    A statement from Buckingham Palace issued at 1pm on Tuesday said: ‘The Queen received in Audience The Right Honourable Elizabeth Truss MP today and requested her to form a new Administration. Ms Truss accepted Her Majesty’s offer and kissed hands upon her appointment as Prime Minister and First Lord of the Treasury.’

    The Court Circular normally records that ‘the Prime Minister kissed hands on appointment’. However, this is not literally the case, and it is usually a handshake – as it was with Miss Truss today. 

    The meeting took place in Balmoral’s green-carpeted Drawing Room, which has matching green sofas, a leaf-patterned fabric chair, an open fire and a number of equine-themed antique paintings on the walls. 

    The Queen normally spends the months of August and September at her Highlands retreat, where she is joined by other family members at various stages. Prince William and Kate and their children, Prince George, nine, Princess Charlotte, seven, and Prince Louis, four, are among those who have already been to see her at Balmoral this year.

    The death of Queen Elizabeth: A timeline of how today’s sad news was announced

    12.35pm: A statement is released by Buckingham Palace, announcing that the Queen is under medical supervision at Balmoral after doctors became ‘concerned for her health’. A Palace spokesperson said: ‘Following further evaluation this morning, the Queen’s doctors are concerned for Her Majesty’s health and have recommended she remain under medical supervision. The Queen remains comfortable and at Balmoral.’

    12.47pm: A statement is released by Clarence House, confirming that Prince Charles and his wife Camilla would travel to Balmoral. It said: ‘The Prince of Wales and the Duchess of Cornwall have travelled to Balmoral’. 

    12.48pm: A minute later, Kensington Palace announces that Price William will be travelling to Balmoral. The statement read: ‘The Duke of Cambridge is also travelling to Balmoral.’

    1.37pm: It is reported that Prince Andrew has travelled to Balmoral Castle in Scotland following news that doctors were concerned for The Queen’s health.

    1.38pm: Sources confirm to the Press Association (PA) that The Princess Royal is at Balmoral, and the Duke of York and the Earl and Countess of Wessex are on their way to the Queen’s Scottish home. 

    1.55pm: A spokesperson for the Duke and Duchess of Sussex confirms that the couple will be ‘travelling to Scotland’. While the initial statement mentioned ‘Scotland’, it did not make directly make mention of Balmoral.  The Duke and Duchess of Sussex were due to attend the WellChild Awards ceremony in London on Thursday evening, but changed their plans to travel to see the Queen.

    4.14pm: A news alert by the Press Association (PA) said that the Duke and Duchess of Sussex were believed to be travelling to Balmoral ‘separately’ from other royals. 

    4.39pm: Less than 30 minutes later, PA issue another news alert, quoting an unnamed source, saying that that the Duchess of Sussex would not travel to Balmoral with the Duke of Sussex. The source said that Prince Harry would be making the trip by himself. A source said the Duchess could potentially join Harry in Scotland at a later date, following what PA described as a ‘change of plan’.

    4.44pm: Minutes later, Omid Scobie, a journalist considered to be ‘friendly’ towards the Duke and Duchess of Sussex, and who often quotes unnamed sources close to the couple, writes a post on social media network, Twitter about the situation. He write: A source has shared an update stating that only Prince Harry has made the trip up to Balmoral. Like the Duchess of Cambridge (who is in Windsor with their three children), the Duchess of Sussex is staying back in England (but still not attending tonight’s WellChild Awards).’ The post mentions Kate, who earlier in the day it was revealed would not travel to Balmoral. 

    6.30pm: The Royal Family announces via social media site Twitter that Queen has died ‘peacefully’ at Balmoral at the age of 96. 

    After 6.30pm: Prince Harry is believed to have arrived at Balmoral following the public announcement 

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