 [ Symptoms ] struck top of hand hard enough to break skin fingers cold and numb pain several hours after injury worth x ray  hit my hand very hard on the rigid side of a couch i have only ever broken a toe in my life so i do not know if i might have a fracture i am in a fair amount of pain pain increases exponentially if i try to move my fingers worth the hour drive to the er for an x ray [ Disease ] of course you can definitely have ketones show up in your urine if your diabetes type i or ii is not in control