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DDx

Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 17, 2012.

  1. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    What's your diagnosis?

    I'll post the correct answer in about three days!

    DDx.jpg
     

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    J.P.C. Peper, Jun 17, 2012
    #1

  2. Hasan

    Hasan Bronze Member

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    Janeway lesion from Infective endocarditis
     

    Hasan, Jun 17, 2012
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  3. dupuytren

    dupuytren Bronze Member

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    osler's nodes-->infective endocarditis
     

    dupuytren, Jun 17, 2012
    #3
  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Osler's node
     

    Gospodin Seki, Jun 17, 2012
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  5. tanxuefang

    tanxuefang Well-Known Member

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    Janeway lesions in Infective endocarditis
     

    tanxuefang, Jun 18, 2012
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  6. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Osler nodes.

    These are painful lesions that can form on the hands or feet, caused by deposition of immune complexes. It's most often seen in infective endocarditis, although it can also occur in SLE.
     

    J.P.C. Peper, Jun 20, 2012
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  7. Hasan

    Hasan Bronze Member

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    As far as i know that the only difference in distinguishing the two lesions clinically in IE is whether it is painful or not.......If painful then osler nosdes and if Painless then Janeway lesion......
     

    Last edited: Jun 21, 2012
    Hasan, Jun 20, 2012
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  8. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    According to the Oxford Handbook of Clinical Medicine (8th edition), Osler nodes are the painful lesions and Janeway lesions the painless ones.

    It's also on Wikipedia by the way, I checked that as well.
     

    J.P.C. Peper, Jun 20, 2012
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