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
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
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Temp • ACS • Drugs ... • His-Purkinje Fiber ... • Aortic Valve Endocarditis ... #differential #diagnosis
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Canimorsus Skin Rash ... to meningitis, endocarditis ... the key to the diagnosis ... #dermatology #clinical ... #photo
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
- Differential Diagnosis ... Burrows between fingers ... Generalized itchy rash ... illness • Drug ... #Dermatology
Symmetrical Drug-Related Intertriginous and Flexural Exanthema (SDRIFE)

49M +burning rash groins/buttocks (pic in next thread) x 1d.
Symmetrical Drug-Related ... SDRIFE is a drug ... plaques in the upper/inner ... #clinical #photo ... #dermatology
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
Rash is usually ... malignancies, and drugs ... PrathitKulkarni #Erythemas #comparison ... #differential #diagnosis ... #dermatology #compared
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 ... extremities Drug ... • Antihistone: Drug
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... Vasculitis • Drug ... mucositis - Rash ... episcleritis as well as inner ... #rheumatology #classification
Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for
diffuse palpable rash ... Diagnosis? ... for LCV includes drug ... Hand #skinrash #dermatology ... #clinical #photo