11 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 ... Infective Endocarditis ... #Lesions #Endocarditis ... dermatology #soles #skin
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Endocarditis ... Pyrexia Skin ... lesions - Osler's ... haemorrhages - Janeway ... Symptoms #Signs
Infective Endocarditis - Diagnosis and Management Summary
Pearls:
 - Consider non-infectious endocarditis in pts with cancer/SLE and
Infective Endocarditis ... pts with cancer/SLE ... - Classical signs ... like Roth spots, Janeway ... lesions, splinter
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
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 ... erythematosus #signs ... symptoms #diagnosis #rheumatology
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 ... lesions • Discoid ... differential #diagnosis #rheumatology
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... trauma leads to skin ... painless, no systemic signs ... 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 ... The signs and symptoms ... treatment, the infection ... heaped, wart-like lesions—Condyloma ... Diagnosis #Clinical #Photo
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... papulosquamous lesions ... Non-autoimmune rheumatologic ... Seizures • Strokes Skin ... • Libman-Sacks endocarditis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases, such as SLE ... purpura: Strong sign ... , mucositis • Rash ... , recent viral infection ... Differential #Diagnosis #Rheumatology