16 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... sister shared these photos ... Infective Endocarditis ... #PhysicalExam #clinical ... #photo #dermatology
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
: < 1% Clinically ... of peripheral blood ... cultures, including blood ... • Abnormal temperature ... bacteremia • Abnormal
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
the patient’s blood ... (normal value, ... definitive host; the infection ... #clinical #NEJM ... hepatic #radiology #CT
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vulnificus skin infection ... vulnificus part of normal ... rash #cellulitis #dermatology ... #legs #clinical ... #photo
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... disease • Infectious ... Chest CT: • Ground-glass ... levels are within normal ... hypogammaglobulinemia #immunology #hematology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
When considering infections ... Capnocytophaga canimorsus normal ... possible Patient's clinical ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
dacryocystitis — infection ... Cultures of urine, blood ... #NEJM #clinical ... #photo #peds #acute
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
History of EBV infection ... Hodgkin Lymphoma - Clinical ... Workup: • Full Blood ... Mediastinal mass) • CT ... physical exam, CT
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
cooled from the normal ... which can plug blood ... Cryofibrinogenemia Clinical ... Diagnosis: • + Clinical ... #rheumatology #hematology
Melioidosis - Skin Infection
63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
Melioidosis - Skin Infection ... dyspnea x 3 days, CT ... Blood/wound cultures ... #Cellulitis #Clinical ... #Photo #dermatology