19 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... Infective Endocarditis ... #PhysicalExam # ... clinical #photo ... dermatology #soles #skin
Paronychia
Inflammation of the nail folds - red, swollen, often tender. Frequent immersion in water a risk
#Paronychia #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Splinter Hemorrhages
Nonspecific finding associated with trauma most commonly but also seen in subacute bacterial endocarditis and
subacute bacterial endocarditis ... #Hemorrhages #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign #Endocarditis
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
#Terrys #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Clinical Features ... of Infective Endocarditis ... Pyrexia Skin ... Symptoms #Signs ... #Features #PhysicalExam
Nail Pitting
Non-specific sign for psoriasis (additional signs include onycholysis, thickening, and 'oilspot' lesions which are yellow
Non-specific sign ... #Pitting #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
seen in severe infection ... #Beaus #Lines #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Leukonychia #striata #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Acral Lentiginous Melanoma (involving nail)

While acral lentinginous melenoma is often seen anywhere on the palms, soles,
Lentiginous #Melanoma #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign
Paronychia Middle Finger: Infection of skin along lateral aspect of nail. 

Charlie Goldberg, M.D. - UCSD
Middle Finger: Infection ... of skin along lateral ... Images #Clinical ... #Photo #Paronychia ... #Fingernails #Infection