141 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
left hemiplegia, fevers ... could have been diagnosed ... with persistent fever ... #Endocarditis #PhysicalExam ... #clinical #photo
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes of Fever ... CRITICAL DIAGNOSES ... Neuroleptic malignant syndrome ... - Drug fever ... #Fever #Noninfectious
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... erythema #clinical ... #diagnosis #PhysicalExam ... #hands #liver ... hepatology #cirrosis #photo
Dressler Syndrome - 
Postmyocardlal Infarctlon syndrome / Postpericardlotomy pericarditis
• Occurs 2 -10 weeks post myocardial infarction
Dressler Syndrome ... Postmyocardlal Infarctlon syndrome ... Persistent low-grade fever ... #Dressler #Syndrome ... #Diagnosis #Cardiology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
disease • Periodic fever ... syndromes Clinical ... multiorgan failure • Fever ... - Nonremitting fever ... #Diagnosis #Management
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Diptheria • Typhoid fever ... Acute rheumatic fever ... Psittacosis • Q fever ... • Yellow fever
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
Fever vs Hyperthermia ... Fever: • Regulated ... ; Serotonin syndrome ... BrighamChiefs #Fever ... Hyperthermia #comparison #diagnosis
Acute Schistosomiasis: Katayama Fever
 • Most common in travelers and children
 • "Swimmers Itch" in the
Schistosomiasis: Katayama Fever ... exposure) • Fever ... Schistosomiasis #Katayama #Fever ... #diagnosis #clinical ... #photo
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
Scarlet fever • ... folds #Scarlet #fever ... #diagnosis #clinical ... #photo #signs #
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
shortness of breath ,fever ... , what’s the clinical ... shown , what’s the diagnosis ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology