Discussion in 'Spot Diagnosis' started by J.P.C. Peper, Jun 17, 2012.
What's your diagnosis?
I'll post the correct answer in a few days!
Osler node may be from Infective endocarditis
janeway lesion in acute endocarditis
osler's nodes in infective endocarditis
Osler node(Infective endocarditis)
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.
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......
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.
Separate names with a comma.