27 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... Blood cultures growing ... could have been diagnosed ... with persistent fever ... #photo #dermatology
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
- Differential ... Diagnosis Algorithm ... Red Flags: • Fever ... test • Serology ... #Causes #dermatology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Rapid onset of fever ... sepsis: chronic liver ... #cellulitis #dermatology ... #legs #clinical ... #photo
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
high index of clinical ... is required for diagnosis ... features: Fever ... features: Fever ... #table
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Secondary Syphilis Rash ... ▪ “Rash” (75% ... ) ▪ Malaise, fever ... #Diagnosis #Clinical ... #Photo #Dermatology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
• Headache • Fever ... Maculopapular rash ... • Common clinical ... meningeal signs (fever ... #diagnosis #neurology
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
Dermatomyositis • Fever ... onset [33-74%] • Blood ... disease and ILD • Liver ... Liver biopsies show ... #diagnosis
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
disease • Periodic fever ... multiorgan failure • Fever ... - Nonremitting fever ... Petechial or purpuric rash ... thrombocytopenia • Liver
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Diagnosis and Workup ... plateletcount), peripheral blood ... : INR/PT, aPTT(liver ... (CVID, WAS), (neurologic ... bypass), LFT (liver
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
known as rat bite fever ... or Haverhill fever ... infectiosum • Fever ... acute rheumatic fever ... diagnosis #dermatology