13 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 ... these photos today ... could have been diagnosed ... #dermatology #soles
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
and Rash - Diagnostic ... Algorithm Central ... 819 / EBV, Acute HIV ... Sweet syndrome Eschar ... #Diagnosis #Algorithm
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential Diagnosis ... Algorithm Pinpoint ... Red Flags: • Fever ... ITP - APLS - HIT ... #dermatology #physicalexam
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
Diagnosis? ... Can have 20-40 lesions ... chickenpox, vzv, hsv ... rakari #clinical #photo ... #skinrash #dermatology
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
(SLE) General: Fever ... Photosensitivity, Butterfly rash ... Aseptic necrosis of hip ... Glomerulonephritis Myositis(5%) Blood ... signs #symptoms #diagnosis
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
S/sx: Fever, flank ... maculopapular rash ... Extremely rare - HIV ... #Transfusion #diagnosis ... #management #hematology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
S/sx: Fever, flank ... maculopapular rash ... Extremely rare - HIV ... #Transfusions #diagnosis ... #management #hematology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
- Transfusion Reactions ... of high parity blood ... Pathophysiology: 2 hit ... explain symptoms • Fever ... #hematology #diagnosis
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
- Differential Diagnosis ... hemorrhagic skin lesions ... • HCV, HBV Not ... mountain spotted fever ... • Drug reactions
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