20 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... Infective Endocarditis ... could have been diagnosed ... PhysicalExam #clinical #photo ... dermatology #soles #skin
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Endocarditis ... Pyrexia Skin ... haemorrhages - Janeway ... #Endocarditis # ... #PhysicalExam #Diagnosis
Embolic Phenomena: Purplish discoloration of skin resulting from embolus to small toe. In this case, the
discoloration of skin ... Goldberg, M.D. - UCSD ... Embolic #Vegetation #Endocarditis ... #Janeway #Lesions ... #Photo #UCSDH
Algorithm for Diagnosis of the Petechial / Purpuric Rash

Febrile/Toxic, Palpable: 
 - Meningococcaemia, Disseminated Gonococcal Infection,
Algorithm for Diagnosis ... Petechial / Purpuric Rash ... Disseminated Gonococcal Infection ... , Endocarditis, ... #Dermatology #Skin
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
a patient with infective ... confirming our working diagnosis ... typically larger) and Janeway ... #Oslers #Node #infective ... clinical #photo
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Joint Pain Rash ... parvovirus B19 infection ... Malar rash ... #differential #diagnosis ... #rheumatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... - Trauma - Infection ... Schonlein Purpura - Endocarditis ... cryoglobulins • Skin ... #Differential #Diagnosis
Adult Onset Still's Disease - Yamaguchi Criteria
Major criteria:
 - Fever >= 39C lasting >= 1 weeks
weeks - Typical skin ... rash: maculopapular ... criteria: - Infection ... Yamaguchi #Criteria #Diagnosis ... #Major #Minor #Rheumatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Sjögrens (15%) Skin ... Photosensitivity, Butterfly rash ... Pericarditis, Endocarditis ... signs #symptoms #diagnosis ... #rheumatology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
to meningitis, endocarditis ... the key to the diagnosis ... C. canimorsus infection ... Capnocytophaga infection ... #clinical #photo