18 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
His sister shared ... Infective Endocarditis ... could have been diagnosed ... #dermatology #soles ... #skin
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Lesions == Macules ... • Varicella zoster ... Lesion / Systemic ... renal failure/uremia ... #generalized #dermatology
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Blastomycosis Skin ... Diagnosis? ... Indiana University Infectious ... Blastomycosis #SkinRash #dermatology ... #clinical #photo
Osler's Nodes in a patient with infective endocarditis

67yo presents with R occipital intraparenchymal hemorrhage (IPH) attributed
a patient with infective ... Lesions are tender ... confirming our working diagnosis ... typically think of Osler ... clinical #photo
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
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... gulf of Mexico Oyster ... hemochromatosis, hemolytic anemia ... #cellulitis #dermatology ... legs #clinical #photo
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
- Differential Diagnosis ... purple, hemorrhagic skin ... lesions that result ... - Hemolytic anemia ... • Bacterial endocarditis
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Pustular Skin Lesions ... - Differential Diagnosis ... Herpes zoster 3 ... #Lesions #Differential ... #Diagnosis #Dermatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... reddish-purple lesions ... Schonlein Purpura - Endocarditis ... cryoglobulins • Skin ... Algorithm #Causes #dermatology
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 ... #Rash #dermatology ... #clinical #photo