7 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... Infective Endocarditis ... #Endocarditis #PhysicalExam ... #clinical #photo ... dermatology #soles #skin
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
with a palpable hepatic ... the patient’s blood ... definitive host; the infection ... #clinical #NEJM ... #radiology #CT
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Your blood cxs identify ... Final dx: Septic ... - BIDMC Infectious ... #Rash #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 ... level • A low or normal ... have positive blood
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 ... necrosis • DIC • Septic
Pocket Hematoma after Pacemaker Placement
A rare, but can't-miss complication from pacemaker placement. Low incidence (1-9%) overall,
breakdown → decreased blood ... Heparin increases ... dehiscence or skin ... Pocket #Hematoma #clinical ... #Pacemaker #photo
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
complicated with urinary infections ... explained by an abnormal ... spider angiomas and skin ... Fingernails #Hands #PhysicalExam ... #Clinical #Photo