11 results
Embolic Phenomena: Purplish discoloration of skin resulting from embolus to small toe. In this case, the
discoloration of skin ... #Dermatology #Septic ... #Endocarditis # ... Janeway #Lesions ... #Photo #UCSDH
Vasculitis: In this instance, the vasculitic skin lesions were secondary to Haemophilus endocarditis.
Photo credit, Josh Fierer,
the vasculitic skin ... lesions were secondary ... Images #Clinical ... #Photo #Dermatology ... #UCSDH
Skin Findings in Endocarditis - Skin findings include palpable petechiae, splinter hemorrhages (nail bed lesions), Janeway
Skin Findings in ... Endocarditis - ... Skin findings include ... painless, macular spots ... #Clinical #Dermatology
Clinical Features of Infective Endocarditis

General 
 - Malaise 
 - Clubbing 

Cardiac 
 - Murmurs
Clinical Features ... of Infective Endocarditis ... Pyrexia Skin ... Eyes - Roth spots ... Neurological - Cerebral emboli
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Immunologic: • Osler ... nodes • Roth’s spots ... Glomerulonephritis Septic ... gallolyticus, clostridium septicum ... or destructive lesion
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
His sister shared ... persistent fever - Clinical ... PhysicalExam #clinical ... #photo #dermatology ... #soles #skin
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Immunologic: • Osler ... nodes • Roth’s spots ... Septic emboli ... gallolyticus, clostridium septicum ... or destructive lesion
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
purple, hemorrhagic skin ... lesions that result ... • Septic emboli ... • Bacterial endocarditis ... #nonpalpable #dermatology
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
asymptomatic to septic ... emboli, Janeway ... lesions, splinter ... - Immunologic (Osler ... nodes, Roth spots
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
Vibrio Vulnificus skin ... cellulitis w/ black spots ... vulnificus 🦪 🦀 sepsis ... rash #cellulitis #dermatology ... #legs #clinical