49 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 ... - Clinical examination ... PhysicalExam #clinical ... #photo #dermatology
Kerion
Raised, boggy lesion with heaped up purulent nodules 
Caused by host's response to a fungal ringworm
Raised, boggy lesion ... purulent nodules Caused ... mentagrophytes) Clinical ... Hair loss • Fever ... Lymphadenopathy Treatment
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
hemorrhagic skin lesions ... deficiency • Liver ... mountain spotted fever ... • Bacterial endocarditis ... Differential #Diagnosis #hematology
Appearance of Liver Lesions on Computed Tomography (CT) - Arterial Phase, Portal Venous Phase and Delayed
Lesions on Computed ... ComputedTomography #CT #radiology ... differential #diagnosis #comparison ... #table #appearance ... #hepatology
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Lesions on Various ... CT #MRI #POCUS #radiology ... differential #diagnosis #comparison ... #table #appearance ... #hepatology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... explain symptoms • Fever ... pulmonary edema) • Fever ... #diagnosis #comparison ... #table
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
features: Fever ... features: Fever ... in up to 30% of cases ... #comparison #infective ... Marantic #diagnosis #table
Clinical Manifestations of Human Herpes Viruses (HHV)

Herpes simplex virus 1	HSV-1	Frequently subclinical (80-90%) Oral lesions (10-20%) congenital
Clinical Manifestations ... (80-90%) Oral lesions ... virus 7 HHV-7 Fever ... Microbiology #Diagnosis #Comparison ... #Table
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Clinical Features ... (SLE) General: Fever ... Cranial nerve lesions ... Pericarditis, Endocarditis ... , Aortic valve lesions
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
night sweats, fever ... Septic Emboli Cause ... or destructive lesion ... Persistent bacteremia/fevers ... diagnosis #management #cardiology