15 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... with persistent fever ... #Endocarditis #PhysicalExam ... #clinical #photo ... #dermatology #soles
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Associated with Joint Pain ... • Rheumatic fever ... Sarcoidosis #dermatology ... #joint #pain #skin ... #rashes #differential
Hodgkin's Lymphoma vs Non-Hodgkin's Lymphoma - Comparison

Hodgkin's Lymphoma:
 • Epidemiology: young adults 20-30, older 50-70
 •
Non-Hodgkin's Lymphoma - Comparison ... - Pel-Ebstein fever ... Alcohol-induced pain ... : Pain in involved ... #hematology
Maculopapular - Diagnostic Algorithm
Pathophysiology:
- Catch-all term with a wide range of potential pathophysiologic mechanisms and causative
red-flags to exclude dermatologic ... instability - New-onset fever ... sulfa-drug - Skin pain ... #Diagnosis #Dermatology ... Targetoid #Algorithm #Differential
Myositis and Myopathies
Polymyositis 
 • Progressive, symmetric muscle weakness 
 • Elevated CK, +Anti-Jo, +Anti-Mi2
Dermatomyositis
Rheumatica • Pain ... proximal joints, Fever ... Myopathies #myopathy #differential ... #diagnosis #comparison ... #rheumatology
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
Knee Effusions - Differential ... Fever/Chills/Joint ... pain/Night sweats ... Acute rheumatic fever ... diagnosis #msk #physicalexam
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... Red Flags: • Fever ... lesions • Severe pain ... Algorithm #Causes #dermatology ... #physicalexam
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
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Skin Lesions - Differential ... with rheumatic pain ... Pustules + Fever ... Skin #Lesions #Differential ... #Diagnosis #Dermatology
Necrotizing Fasciitis: Note the extensive edema, erythema, bullae formation, and necrosis in this patient's thigh. At
failure) with severe pain ... and below the level ... Images #Clinical #Photo ... #Dermatology #SkinRash