Friday, 8 June 2012

- Peripheral Signs of Infective Endocarditis.

Peripheral Signs of Infective Endocarditis.

1-Roth’s spots: Oval shaped, white centered hemorrhages present on the retina of some patients with infective endocarditis on the funduscopic examinations.
Roth’s spots,Infective Endocarditis
(From the collection of Sanjay Sharma, St George’s University of London, UK) 
NB: Roth's spots, or white-centered retinal hemorrhages, may be seen in a variety of conditions, including: leukemia, subacute bacterial endocarditis, ischemic events associated with elevated venous pressure, and systemic vascular conditions with capillary fragility.

2-Osler’s nodes: Painful, erythematous nodules most commonly found on the pads of the fingers and toes of some patients with infective endocarditis.

3-Janeway lesions: Nontender, erythematous and nodular lesions most commonly found on the palms and soles of some patients with infective endocarditis.
Osler’s nodes,Janeway lesions

4-Splinter hemorrhages: Small, linear hemorrhages under the nails that are usually asymptomatic and found in some patients with infective endocarditis.
Splinter hemorrhages,Infective Endocarditis

*References:- 
-Peripheral Signs of Endocarditis,Frank L. Urbano, MD.
-Roth's Spots,Zsolt Varga, M.B., B.Chir., and Jiri Pavlu, M.D, N Engl J Med 2005; 353:1041

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