27 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
His sister shared ... these photos today ... could have been diagnosed ... #dermatology #soles ... #skin
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.
Photo credit, Josh Fierer,
the vasculitic skin ... lesions were secondary ... to Haemophilus endocarditis ... Photo credit, Josh ... #Dermatology #SkinRash
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
- The lesions were ... A presumptive diagnosis ... of herpes zoster ... #Clinical #Photo ... #Dermatology #Herpes
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Lesions == Macules ... • Varicella zoster ... Lesion / Systemic ... renal failure/uremia ... #generalized #dermatology
Pruritus - Primary Skin Lesion - Differential Diagnosis Algorithm
Macules / Papules / Plaques:
 • Xerosis (dry
Pruritus - Primary Skin ... Lesion - Differential ... Diagnosis Algorithm ... • Varicella zoster ... Pruritus #primary #dermatology
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Blastomycosis Skin ... lesion lower back ... Diagnosis? ... Blastomycosis #SkinRash #dermatology ... #clinical #photo
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
Lesions are tender ... confirming our working diagnosis ... typically think of Osler ... larger) and Janeway lesions ... #clinical #photo
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
- long axis of lesion ... parallel to lines of skin ... - Differential diagnosis ... rosea #clinical #dermatology ... #photo #PhysicalExam
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Sjögrens (15%) Skin ... Cranial nerve lesions ... Pericarditis, Endocarditis ... ) Blood (75%): Anemia ... signs #symptoms #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Immunologic: • Osler ... Differential Diagnosis ... Diagnosis? ... Leukocytosis, anemia ... or destructive lesion