9 results
Skin Findings in Endocarditis - Skin findings include palpable petechiae, splinter hemorrhages (nail bed lesions), Janeway
include palpable petechiae ... (nail bed lesions ... ), Janeway lesions ... the pads of the finger ... #Clinical #Dermatology
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Pyrexia Skin lesions ... haemorrhages - Janeway ... lesions - Petechiae ... - Conjunctival splinter ... #PhysicalExam #Diagnosis
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
Janeway Lesion: ... Photo credit, Josh ... Fierer, M.D. ... #Dermatology #SkinRash ... #Janeway #Lesions
Janeway Lesions: Flat, painless, erythematous lesions seen on the palm of this patient's hand. Frequently
associated with
Janeway Lesions: ... Photo credit, Josh ... Fierer, M.D. ... #Dermatology #SkinRash ... #Janeway #Lesions
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 ... could have been diagnosed ... #Lesions #Endocarditis ... #dermatology #soles
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
gonococcal disease, endocarditis ... or purpuric rash ... , the diagnosis ... #Diagnosis #Dermatology ... Purpural #Purpuric #Rash
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Diagnosis Algorithm ... reddish-purple lesions ... Schonlein Purpura - Endocarditis ... #Petechiae #Rash ... Algorithm #Causes #dermatology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
, pulmonary • Janeway ... lesions • Mycotic ... aneurysm • Splinter ... hemorrhages • Petechiae ... Diagnosis?
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... , Pulmonary • Janeway ... lesions • Mycotic ... aneurysm • Splinter ... hemorrhages • Petechiae