12 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
His sister shared ... these photos today ... #Endocarditis #PhysicalExam ... #dermatology #soles ... #skin
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
parallel to lines of skin ... palms/soles - Differential ... rosea #clinical #dermatology ... #photo #PhysicalExam
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
Leg Pain - Differential ... abscess - Herpes zoster ... - HIV - Lyme ... #Leg #pain #differential ... extremity #msk #physicalexam
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... gulf of Mexico Oyster ... hemolytic anemia, CKD, hiv ... rash #cellulitis #dermatology ... legs #clinical #photo
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Petechial Rash - Differential ... blood test • Serology ... cryoglobulins • Skin ... Algorithm #Causes #dermatology ... #physicalexam
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Allopecia - Differential ... Capitis - Skin ... Examination: • Signs ... Examine the entire skin ... #Diagnosis #dermatology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Bacterial Meningitis - Differential ... Herpesviruses (MCC: HSV ... • Varicella-zoster ... Acute meningeal signs ... #diagnosis #neurology
Common Dermatological Conditions - Distribution and Morphology
 • Acne vulgaris - Face, upper back, chest -
associated with signs ... on sun-damaged skin ... erosions • Herpes zoster ... ; pruritis #dermatology ... #rash #differential
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... purpura: Strong sign ... , neurologic, and ... HTN • Check: HBV ... cognitive impairment, neurologic
Paraproteinemias

Entities That Can Feature A Monoclonal Protein/M Component:
• MM
• WM
• MGUS
• MGCS
• MGRS
• Splenic Marginal Zone
Zone Lymphoma (HCV ... Alpha & Mu) Skin ... et diutinum Neurologic ... thrombosis+Pulm HTN+skin ... #Monoclonal #Differential