14 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Janeway Lesions ... Infective Endocarditis ... could have been diagnosed ... #Lesions #Endocarditis ... dermatology #soles #skin
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Endocarditis ... Pyrexia Skin ... lesions - Osler's ... haemorrhages - Janeway ... #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
Osler's Nodes in a patient with infective endocarditis

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

Rash
	• Human parvovirus B19 infection

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

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... reddish-purple lesions ... - Trauma - Infection ... Schonlein Purpura - Endocarditis ... cryoglobulins • Skin
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... wax and wane; diagnosis ... trauma leads to skin ... papulonodular lesions ... #clinical #photo
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... treatment, the infection ... heaped, wart-like lesions—Condyloma ... #Diagnosis #Clinical ... #Photo #Dermatology
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