9 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
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 ... Cranial nerve lesions ... Pericarditis, Endocarditis ... symptoms #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 ... papulonodular lesions ... #clinical #photo
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
characterized by a systemic ... Skin rash and malaise ... treatment, the infection ... heaped, wart-like lesions—Condyloma ... Diagnosis #Clinical #Photo
Cutaneous larva migrans skin Rash
25 F recent Caribbean vacation, walked barefoot on sand and now with
larva migrans skin ... lesion which may ... unless multiple lesions ... are first-line systemic ... dermatology #clinical #photo
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
air conditioning system ... to meningitis, endocarditis ... C. canimorsus infection ... Capnocytophaga infection ... #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
lesions • Mononeuritis ... , mucositis • Rash ... lesions (red macules ... , recent viral infection ... Differential #Diagnosis #Rheumatology
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