26 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
in Endocarditis ... sister shared these photos ... #Endocarditis # ... PhysicalExam #clinical ... #photo #dermatology
Janeway Lesions: Flat, painless, erythematous lesions seen on the palm of this patient's hand. Frequently
associated with
Janeway Lesions: ... with bacterial endocarditis ... Photo credit, Josh ... Images #Clinical #Photo ... #Endocarditis #
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.
Photo credit, Josh Fierer,
vasculitic skin lesions ... to Haemophilus endocarditis ... Photo credit, Josh ... Images #Clinical #Photo ... SkinRash #Vasculitis #Endocarditis
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Features of Systemic Lupus ... Cranial nerve lesions ... Pericarditis, Endocarditis ... Thrombocytopenia #Lupus ... symptoms #diagnosis #rheumatology
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
, erythematous lesions ... with bacterial endocarditis ... Photo credit, Josh ... Images #Clinical #Photo ... #Endocarditis #
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Features of Infective Endocarditis ... Pyrexia Skin lesions ... haemorrhages - Janeway lesions ... #Infective #Endocarditis ... Signs #Features #PhysicalExam
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
S - Systemic Lupus ... subacute bacterial endocarditis ... #differential #hematology
Janeway Lesions of Endocarditis on Physical Exam

#Janeway #Lesions #PhysicalExam #clinical #photo #fingertips #endocarditis
Janeway Lesions ... of Endocarditis ... #PhysicalExam # ... clinical #photo ... #fingertips #endocarditis
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
Post-strep GN, Lupus ... Cryoglobulinemia, Endocarditis ... diagnosis #algorithm #rheumatology
Management of Lupus Nephritis
Lupus nephritis (LN) in 10 to 40% of SLE
Hallmark = proteinuria 20.5 g/g
Management of Lupus ... Nephritis Lupus ... (C) : chronic lesions ... BaillouChloe #Lupus ... treatment #management #rheumatology