9 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 ... #PhysicalExam # ... clinical #photo ... dermatology #soles #skin
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
deficiency - Abnormal ... Schonlein Purpura - Endocarditis ... : • Complete blood ... cryoglobulins • Skin ... #dermatology #physicalexam
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Sporotrichiosis Infection ... painless nodular rash ... trauma leads to skin ... systemic signs, labs normal ... #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 ... to meningitis, endocarditis ... possible Patient's clinical ... #clinical #photo
Acute Purpura Fulminans Skin Rash on Physical Exam 
60 year old male ITP s/p splenectomy 
1d
Purpura Fulminans Skin ... Your blood cxs identify ... - BIDMC Infectious ... #Rash #clinical ... #photo
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 ... #infection #rash ... dermatology #legs #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
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) Suspect: Clinical ... 3rd Decade Skin ... fibromyalgia) • Infections ... Seizures • Strokes Skin ... • Libman-Sacks endocarditis
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