7 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... could have been diagnosed ... #PhysicalExam # ... clinical #photo ... dermatology #soles #skin
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... negative; however, a skin ... staining confirmed a diagnosis ... #clinical #photo ... #derm #NEJM #cutaneous
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... deficiency - Abnormal ... Schonlein Purpura - Endocarditis ... cryoglobulins • Skin ... #dermatology #physicalexam
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
to meningitis, endocarditis ... possible Patient's clinical ... the key to the diagnosis ... #dermatology #clinical ... #photo
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... 3rd Decade Skin ... Differential Diagnosis ... Seizures • Strokes Skin ... • Libman-Sacks endocarditis
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Diagnosis? ... steroid use Dx: skin ... hyphae invading blood ... #dermatology #skin ... #clinical #photo
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
• Major blood ... has five major clinical ... fungal stain of clinical ... arthritis, and endocarditis ... have positive blood