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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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  2. Hasan

    Hasan Bronze Member

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    Janeway lesion from Infective endocarditis
     


  3. dupuytren

    dupuytren Bronze Member

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    osler's nodes-->infective endocarditis
     


  4. Gospodin Seki

    Gospodin Seki Moderator Staff Member

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    Osler's node
     


  5. tanxuefang

    tanxuefang Well-Known Member

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    Janeway lesions in Infective endocarditis
     


  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.
     


  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

  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.
     


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