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 ... #Endocarditis #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
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
ABO incompatible blood ... organ damage Clinical ... involvement (2%) Cutaneous ... #Coagulation #diagnosis ... causes #treatment #management
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
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... in literature (NEJM ... required due to skip ... cases (Cornelia NEJM ... #Management
Aplastic Anemia - Overview

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

What?
• Aplastic anemia
Aplastic Anemia Clinical ... Headaches • Pale skin ... result from low blood ... oncology #hematology #diagnosis ... #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
• Major blood ... has five major clinical ... fungal stain of clinical ... have positive blood ... #Management #Infections