[Pediatric] Atlas of Bacterial endocarditis

Atlas, of, Bacterial, endocarditis, Atlas of Bacterial endocarditis, CLINICAL ATLAS, PEDIATRIC ATLAS, tuyenlab,net

Fig 1.  Roth spots that are retinal hemorrhages with white centers seen in bacterial endocarditis. These can also be seen in leukemia and diabetes.

Fig 2.  Close-up of a Roth spot, which is actually a cotton-wool
spot surrounded by hemorrhage. The cotton-wool comes from ischemic
bursting of axons and the hemorrhage comes from ischemic bursting
of an arteriole.

Fig 3.  Pathology specimen of a patient who died of bacterial
endocarditis. Bacterial growth can be seen on the three cusps of this
heart valve.

Fig 4.  Janeway lesions on the palm of a woman hospitalized
with acute bacterial endocarditis. These were not painful.

Fig 5.  Janeway lesions and petechial lesions on the sole of a
17-year-old boy who was hospitalized with S aureus bacteremia and
endocarditis.

Fig 6.  Osler node causing pain within pulp of the big toe in
the same woman hospitalized with acute bacterial endocarditis. (Osler
nodes are painful—remember “O” for Ouch and Osler.) Note the multiple painless at Janeway lesions over the sole of the foot.

Fig 7.  Splinter hemorrhages appearing as red linear streaks
under the nail plate and within the nail bed. Although endocarditis can
cause this, splinter hemorrhages are more commonly seen in psoriasis
and trauma.

Fig 8.  Transesophageal echocardiogram in a teenage boy with
endocarditis of a prosthetic right ventricle to pulmonary artery conduit.
Note the vegetation (white arrow) attached to the pulmonary valve leaflets (yellow arrow).

This is only a part of the book : Color Atlas of Pediatrics 1st Edition of authors: Richard P. Usatine, MD; Camille Sabella, MD; Mindy Ann Smith, MD; E.J. Mayeaux, Jr., MD; Heidi S. Chumley, MD and Elumalai Appachi, MD, MRCP (UK). If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/BEp0yD