11 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 ... could have been diagnosed ... #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
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
late adulthood • Diagnosis ... to 8 years Clinical ... Chest CT: • Ground-glass ... conditions Diagnosis ... levels are within normal
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga canimorsus normal ... possible Patient's clinical ... the key to the diagnosis ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
He received a diagnosis ... 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
Melioidosis - Skin Infection
63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
dyspnea x 3 days, CT ... Blood/wound cultures ... Diagnosis: Melioidosis ... #Cellulitis #Clinical ... #Photo #dermatology
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 ... Cryofibrinogenemia Diagnosis ... : • + Clinical
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia Clinical ... Neutropenia - recurrent infections ... Idiopathic • Infections ... result from low blood ... #diagnosis #management