201 results
Algorithm for Diagnosis of the Petechial / Purpuric Rash

Febrile/Toxic, Palpable: 
 - Meningococcaemia, Disseminated Gonococcal Infection,
Diagnosis of the Petechial ... Gonococcal Infection, Endocarditis ... twitter.com/BirksMD #Petechial ... #Purpuric #Petechiae
Conjunctival Petechiae: Conjunctival petechiae, in this case secondary to endocarditis.
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D.
Conjunctival Petechiae ... : Conjunctival petechiae ... case secondary to endocarditis ... #Conjunctival #Petechiae ... #Endocarditis #
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Petechial/Purpuric ... Patients with petechiae ... gonococcal disease, endocarditis ... Those with petechiae ... #Petechiae #Purpural
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... lesions called petechiae ... Petechiae Etiology ... Schonlein Purpura - Endocarditis ... #Petechiae #Rash
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Features of Infective Endocarditis ... Janeway lesions - Petechiae ... #Infective #Endocarditis
Skin Findings in Endocarditis - Skin findings include palpable petechiae, splinter hemorrhages (nail bed lesions), Janeway
Skin Findings in Endocarditis ... include palpable petechiae ... #Dermatology #Endocarditis
Mitral Valve Endocarditis on POCUS Echocardiogram
66 yo presents with petechiae to lower extremities. Pt had mitral
Mitral Valve Endocarditis ... presents with petechiae ... #MitralValve #Endocarditis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Endocarditis Summary ... Prosthetic Valve Endocarditis ... hemorrhages • Petechiae ... tumor embolism Endocarditis ... #Endocarditis
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
infection, infective endocarditis ... • Bleeding, petechia ... mononucleosis, infective endocarditis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... Prosthetic Valve Endocarditis ... hemorrhages • Petechiae ... prosthetic valve endocarditis ... #Endocarditis