10 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
history of illicit drug ... sister shared these photos ... could have been diagnosed ... earlier in an IV drug ... #dermatology #soles
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
- Differential Diagnosis ... Deficiency • Drugs ... #MCV #Classification ... #Differential #Diagnosis ... Algorithm #Causes #Hematology
Differential Diagnosis for Hemolytic Anemia
Intrinsic Causes:
 • Enzyme deficiencies ex. G6PD, pyruvate kinase 
 • Hemoglobinopathies
Differential Diagnosis ... for Hemolytic Anemia ... AIHA: warm, cold, drug ... #causes #classification ... #hematology
Symptoms Distinguishing Groups of Cutaneous Drug Reactions
IgE-mediated reactions:
 • Onset minutes to hours into treatment course
Groups of Cutaneous Drug ... lasts > 24h • Fine ... #Reactions #dermatology ... #clinical #comparison ... #classification
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
- Differential Diagnosis ... Secondary Causes: - Drug ... - Hemolytic anemia ... spotted fever • Drug ... • Bacterial endocarditis
CHA2DS2VASc vs HAS-BLED scores for stroke risk and bleed risk on anticoagulation

C	Congestive Heart Failure	1

H	Hypertension	1

A2	Age >75	2

D	Diabetes Mellitus	1

S2	Stroke,
Bleeding history/anemia ... Elderly (>65) 1 D Drugs ... CHADS2VASc #HASBLED #Comparison ... Anticoagulation #AFib #Diagnosis ... #Hematology
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
other sedative drugs ... , uremia, hypoglycemia ... Pseudoseizures #GrandMal #Classification ... #Diagnosis #Neurology ... Signs #Symptoms #Comparison
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Bandemia, AKI. ... to meningitis, endocarditis ... the key to the diagnosis ... Canimorsus #Skin #Rash #dermatology ... #clinical #photo
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Skin Disease Classification ... Differential Diagnosis ... • Libman-Sacks endocarditis ... lymphopenia, low PLT • Anemia ... extremities Drug
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
Diagnosis? ... deferoxamine, drug ... trauma, aplastic anemia ... Mucormycosis #Eschar #dermatology ... skin #clinical #photo