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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 a few days!

    DDx.jpg
     

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    J.P.C. Peper, Jun 17, 2012
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  2. Hasan

    Hasan Bronze Member

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    Osler node may be from Infective endocarditis
     

    Hasan, Jun 17, 2012
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  3. Oxana

    Oxana Well-Known Member

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    janeway lesion in acute endocarditis
     

    Oxana, Jun 18, 2012
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  4. tanxuefang

    tanxuefang Well-Known Member

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    osler's nodes in infective endocarditis
     

    tanxuefang, Jun 18, 2012
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  5. karam

    karam Famous Member

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    Osler node(Infective endocarditis)
     

    karam, Jun 19, 2012
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  6. J.P.C. Peper

    J.P.C. Peper Bronze Member

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    Correct answer:

    Janeway lesions.

    These are - unlike Osler nodes - painless lesions that can form on the palms of the hand or the bottom of the feet. They're a result of septic embolisms that result in micro abcesses, and are most commonly seen in infective endocarditis.
     

    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 nodes 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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