15 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
Blood cultures growing ... His sister shared ... could have been diagnosed ... #dermatology #soles ... #skin
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
and Rash - Diagnostic ... 819 / EBV, Acute HIV ... Mycoplasma), Infective endocarditis ... Sweet syndrome Eschar ... #Diagnosis #Algorithm
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Red Flags: • Fever ... Schonlein Purpura - Endocarditis ... ITP - APLS - HIT ... cryoglobulins • Skin ... #dermatology #physicalexam
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
(SLE) General: Fever ... Sjögrens (15%) Skin ... Photosensitivity, Butterfly rash ... Aseptic necrosis of hip ... Pericarditis, Endocarditis
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... Rapid onset of fever ... hemolytic anemia, CKD, hiv ... #cellulitis #dermatology ... legs #clinical #photo
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
admitted with fever ... Diagnosis? ... chickenpox, vzv, hsv ... rakari #clinical #photo ... #skinrash #dermatology
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
with wife, bit by his ... to meningitis, endocarditis ... the key to the diagnosis ... #Rash #dermatology ... #clinical #photo
Cutaneous Mucormycosis Eschar
30 M HIV cd4 10 VL 30k traumatic injury of arm few months ago
30 M HIV cd4 10 ... Diagnosis? ... malnutrition, HIV ... #dermatology #skin ... #clinical #photo
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
- Differential Diagnosis ... purple, hemorrhagic skin ... mountain spotted fever ... • Bacterial endocarditis ... #nonpalpable #dermatology
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Headaches • Pale skin ... - HIV • Immune ... immunodeficiency virus (HIV ... result from low blood ... #diagnosis #management