Pediatricsintermediate
Match each peripheral clinical manifestation of infective endocarditis to its characteristic description: Findings: 1. Janeway lesions 2. Osler nodes 3. Roth spots 4. Splinter hemorrhages Descriptions: A. Painless, non-tender erythematous or hemorrhagic macules on the palms and soles B. Painful, tender erythematous nodules on the pulp spaces of the fingers and toes C. Retinal hemorrhages containing pale or white fibrin-rich centers D. Linear, reddish-brown streaks beneath the nail bed
Answer
1-A, 2-B, 3-C, 4-D
Explanation
These classic findings differ by site and character. **Key takeaway:** Recognizing their location and tenderness can support clinical suspicion, but findings must be interpreted in context. **Glossary:** Retinal: relating to the light-sensitive tissue at the back of the eye.
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