34 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Janeway Lesions ... sister shared these photos ... characteristic Janeway lesions ... #Endocarditis #PhysicalExam ... #clinical #photo
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
• Urogenital Lesions ... pathognomonic laboratory tests ... Positive pathergy test ... is a skin prick test ... signs #symptoms #rheumatology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... antibody (ANA) test ... ; if positive, test ... healthy elderly persons ... diagnosis #testing #Rheumatology
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
patients Skin lesions ... vertigo Diagnostic tests ... - Ice cube test ... , TempTest test ... Urticaria #diagnosis #rheumatology
In a patient in the supine position, raising the leg with the knee extended stretches the
A positive test ... Many persons without ... (Fajersztajn’s test ... This test is 90% ... #Diagnosis #PhysicalExam
Sickle cells
These photos show sickle cells on peripheral blood smears. In the left photo target cells
Sickle cells These photos ... In the left photo ... about 40% HbS, the rest ... Persons with trait ... of HbF in some persons
Elson's Test - Extensor Digitorum Finger Examination

Elson's test evaluates for partial or complete tear of the
Elson's Test - Extensor ... Examination Elson's ... test evaluates ... open_michigan #Elsons ... Hand #PhysicalExam
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
vasculitis - Skin lesions ... Abnormal pathergy test ... variety of skin lesions ... joints) • Vascular lesions ... Diagnosis #criteria #rheumatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
reddish-purple lesions ... Hypotension • Mucosal lesions ... Fecal occult blood test ... #dermatology #physicalexam
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
present both at rest ... improves quickly with rest ... inflammation in persons ... Joint #Pain #MSK #rheumatology