A thermal imaging extremity abnormal perfusion detector system includes a computer processor configured to receive, analyze and store thermal images and a thermal imaging camera communicatively coupled to the processor, and configured to take at least one of photograph and video thermal images and output the thermal images to the processor. The camera is configured to be secured adjacent a patient workspace that is shaped to contain a patient; and points the thermal imaging camera at the workspace such that, responsive to taking at least one thermal image, the at least one thermal image contains the patient who is placed within the workspace. The computer processor is configured to analyze the at least one thermal image and determine from the at least one thermal image a difference in thermal states indicating altered perfusion in an extremity of the patient.