WHAT IT IS: As with the palms, pallor refers to the pale appearance of skin due to reduced oxyhaemoglobin levels. This may occur in anaemia or shock.
HOW IT IS IDENTIFIED: Pallor may be identified by pulling down (or asking the patient to pull down) the lower eyelid. The palpebral conjunctiva is usually a health pink due to the blood supply of the vascular bed. In anaemia it will appear a pale pink or white (regardless of skin colour) Source: A Handbook Mind The Map, Clinical signs in Black and Brown Skin. Mukwende M, Tamony P, Turner M