15 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... persistent fever - Clinical ... #PhysicalExam # ... clinical #photo ... #dermatology #soles
Muehrcke's Lines (Leukonychia striata)
Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
Muehrcke's Lines ... while transverse lines ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
lesion parallel to lines ... Pityriasis #rosea #clinical ... #dermatology #photo ... #PhysicalExam
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... serology: Serial negative ... Frequent false-negative ... drug use, Central lines
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Susceptibilities, Negative ... central venous line ... or TEE unless clinical ... concern for endocarditis
Transverse lines of the fingernails. (A) Beau’s lines (arrows) of the thumbnail. (B) Mees’ lines (arrowheads)
Transverse lines ... are a typical sign ... FingerNails #Ridges #Clinical ... #PhysicalExam # ... Photo
Splinter Hemorrhages
Nonspecific finding associated with trauma most commonly but also seen in subacute bacterial endocarditis and
subacute bacterial endocarditis ... #Fingernails #PhysicalExam ... #Clinical #Photo ... #Sign #Endocarditis
Mees' Lines
Transverse while lines (usually one per nail, no depressions) that often can will disappear if
Mees' Lines Transverse ... while lines (usually ... #PhysicalExam # ... Clinical #Photo ... #Sign #Arsenic #
Landolfi sign (Aortic Regurgitation) in a 45 yo female pt admitted for native aortic valve endocarditis

Juan
Landolfi sign (Aortic ... pt admitted for native ... #Iris #Ocular #Clinical ... #Video #PhysicalExam ... #Endocarditis
Beau's Lines

Transverse depressed ridges seen in severe infection, MI, hypotension/shock, hypocalcemia, post-surgical, malnutrition and with certain
Beau's Lines ... #Beaus #Lines #Fingernails ... #PhysicalExam # ... Clinical #Photo ... #Sign