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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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  2. Hasan

    Hasan Bronze Member

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    Osler node may be from Infective endocarditis
     


  3. Oxana

    Oxana Well-Known Member

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    janeway lesion in acute endocarditis
     


  4. tanxuefang

    tanxuefang Well-Known Member

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    osler's nodes in infective endocarditis
     


  5. karam

    karam Famous Member

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    Osler node(Infective endocarditis)
     


  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.
     


  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

  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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