Yes. he has fragility and ready extravasation/bruising with manipulation--such as regular intravenous infiltration using butterfly catheters on his hands. Undoubtedly more so than a 40 year old, for example, though even they would likely show bruising not unlike this if they had regular intravenous injections/fluids via butterfly catheters in their hands. Even the most cautious phlebotomy can result in such outcomes.
Still, Trump has had regular periods where he was very unlikely to have had a lot of "hand-shaking" going on--particularly during his disappearance periods--of which he has several the past 18 months. Can I be sure? Of course not, but unlikely.
That he has signs of progressive dementia with cognitive disabilities and right-sided intermittent facial droop and rt leg ataxia (separate but along with his lower leg venous insufficiency and swelling of ankles), is widely accepted in the medical community watching him-- the constant video available daily makes this expressed armchair diagnostic suspicion not out of bound sans examination--unlike in prior times in my opinion. That FTD (frontotemporal dementia) is a leading rule/out, along with other types of progressive dementia make the potential for currently studied experimental immune therapies not unlikely. Despite their having progressed through Phase II and III (for some) clinical trials, he would not normally be eligible--though of course he would be given access. He's the "President' after all.
As to a simple senile purpura diagnosis with blood thinners explanation, he does not appear to have dramatically thinning skin as is seen with elderly people experience that in his hands nor extending to his arms. Close up photos of his hands seem to suggest pretty average--looking hands and wrists/upper arms when exposed on the golf course. Given he does continue to golf and apparently has a pretty strong swing, one might expect more trauma to the hands extending into the lower arms if he were experiencing senile purpura, exacerbated by blood thinners. Yet we've never seen (or at least I haven't) photos of him showing that. And we have seen plenty of photos of him coming and going on the golf course with rolled-up or short sleeves--sans any makeup at all. He does have rosacea on his face which is treated, but no obvious skin-thinning on his face along with it. So, I'd bet his skin is average for a man his age and unlikely to be experiencing severe senile purpura, though he may be beginning to demonstrate it. AND, of course his legs may be demonstrating it along with the swelling of venous insufficiency. But, we don't ever see that, so...? Periodically, we have seen what really appears to be injection punctures (left hand) and possibly on the right, but it is regularly too bruised to be certain. So that really doesn't suggest simple fragility and hand-shaking trauma consistent with senile purpura.
Not to mention if senile purpura was his valid diagnosis, it was not entered into his last physical diagnoses (though rosacea was). Of course he might have objected to the word "senile," so who knows? LOL
All who follow him can believe what they will, but I have lots of company in the medical community sharing my assessment. We shall see.
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