Usually, a dialysis shunt would be placed in the forearm rather than the hand. In an emergency, a Sheldon catheter might be used instead; this is a temporary tube placed in a large vein in the neck, chest, or groin to quickly access the bloodstream. So no. None of that is what we see.

My grandmother had Hemodialysis and her shunt was placed in her lower arm close to her wrist and it left her with a similar bruise. Of course, idk what he has, but I have seen this before.

Agree. But a shunt is visible as a shunt.

If he was on dialysis, he would have a fistula or a neck catheter in which case there would be no need for IV blood draws they would take the blood directly from the fistula or the cath. That was the best part of dialysis for me, no more pokes now that I’m transplanted I get poked all the time.

True.