Doctor pinpoints the tell-tale sign at the Queen’s final royal appointment that death was near: ‘She was putting on a brave face’
- Buckingham Palace declared the passing of Britain’s longest-serving monarch
- Queen Elizabeth II died aged 96 on Thursday evening at 6.30pm in Balmoral
- An Australian GP has pointed to her ‘mottled’ hands at final royal appointment
- It’s a sign of peripheral vascular disease, which is a blood circulation disorder
- If the late monarch had the disorder she would have been in ‘considerable pain’
- Full coverage: Click here to see all our coverage of the Queen’s passing
A doctor has pointed to the Queen’s bruised hand and 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.’
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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 was a sign of declining health
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.
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’

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

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.