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 ... #photo #dermatology ... #soles #skin
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 ... neutrophil #WBC #CBC #hematology ... #pathophysiology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... vulnificus part of normal ... #cellulitis #dermatology ... #legs #clinical ... #photo
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Capnocytophaga Canimorsus Skin ... Capnocytophaga canimorsus normal ... possible Patient's clinical ... #Rash #dermatology ... #clinical #photo
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 ... #hematology
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
causes CNS and hematologic ... disseminates in blood ... that persists as skin ... genital warts, abnormal ... peds #pediatrics #pathophysiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
• Major blood ... has five major clinical ... fungal stain of clinical ... Aspergillosis Pathophysiology ... have positive blood
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 ... Idiopathic • Infections ... result from low blood ... Anemia #oncology #hematology
Melioidosis - Skin Infection
63M h/o diabetes with c/o fever, chest pain, dyspnea x 3 days, CT
Infection 63M ... Blood/wound cultures ... #Infection #Cellulitis ... #Clinical #Photo ... #dermatology
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... vasculitis vs infection ... in literature (NEJM ... required due to skip ... cases (Cornelia NEJM