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78 Possible Causes for Splinter Hemorrhage, Systolic Murmur

  • Infective Endocarditis

    A systolic murmur was heard on the tricuspid area upon examination, and an echocardiogram showed endocardial lesions in the right atrium.[ncbi.nlm.nih.gov] Reddish-brown streaks (splinter hemorrhages) may occur under the nails of the fingers and toes, and small painful nodules may appear in the pads of the fingers or toes (Osler[rarediseases.org] In spite of the improvement of her unconscious state, she developed a new-onset systolic murmur on day 13, and echocardiography revealed severe mitral valve regurgitation[ncbi.nlm.nih.gov]

  • Bacterial Endocarditis

    Cardiovascular examination revealed an ejection click and a systolic murmur that radiated to the carotids.[academic.oup.com] Physical exam Up to half of all patients will exhibit classic physical signs such as 1) petechiae, 2) splinter hemorrhages, 3) Osler's nodes, 4) Janeway lesions and 5) Roth's[symptoma.com] On the eighth hospital day, a grade 2 systolic murmur was present in the mitral area.[scielo.br]

  • Acute Bacterial Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[rarediseases.org] There is generalized clubbing: involving all the fingers and toes and there are two splinter hemorrhages in the left index finger.[prepareformedicalexams.blogspot.com] O/e his blood pressure 140/90 mm Hg, Pulse 136/min, temperature 37.5, respiratory rate 22/min, janeway lesion, splinter hemorrhages, clubbing, Osler nodes, conjunctival hemorrhages[omicsonline.org]

  • Subacute Bacterial Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[rarediseases.org] SBE manifests many skin findings including petechiae, splinter hemorrhages of the nails, Osler's and laneway lesions, clubbing of the fingers, and findings suggestive of angiitis[ncbi.nlm.nih.gov] Classical lesions associated with subacute bacterial endocarditis include petechiae, splinter hemorrhages, Osler's modes and Janaway lesions.[ncbi.nlm.nih.gov]

  • Rheumatic Fever

    We report on a 10-year-old boy who presented with progressive right side involuntary movements, an apical systolic murmur, prolonged PR interval, and elevated antistreptolysin[ncbi.nlm.nih.gov] hemorrhages on nail bed vegetations seen on valves on imaging Treatment Management approach patients must be treated adequately with antibiotics to prevent rheumatic heart[step2.medbullets.com] On examination, Bill appeared unwell and had a soft systolic murmur in the mitral area.[racgp.org.au]

  • Prosthetic Valve Endocarditis

    Examination revealed a temperature of 40 C and a systolic murmur in the aortic area.[ncbi.nlm.nih.gov] : Hemorrhage within the brain Conjunctival hemorrhage: Conjunctiva is a membrane that lines the inside of the eyelid and the sclera (the white part of the eye) Splinter hemorrhages[dovemed.com] There were no localizing symptoms and physical examination was negative except a 2/6 systolic murmur.[springerplus.springeropen.com]

  • Arterial Embolism

    A blowing systolic murmur 2/6 presented between the first to second left intercostal sternal border and a systolic murmur 1/6 located at tricuspid valve.[journals.lww.com] Can also get microangiopathic hemolytic anemias like TTP/HUS, HELLP, and in Catastrophic APS (see below) Skin manifestations are common and include splinter hemorrhages, livedo[errolozdalga.com]

  • Endocarditis

    […] a murmur suggestive of blood outflow obstruction (systolic murmur).[rarediseases.org] In the last decade of the 19 th century, Osler reported his clinical experience with a woman that had a systolic murmur associated with pre-existing mitral failure, knee and[scielo.br] Splinter hemorrhages are nonspecific embolic phenomenon affecting the capillary beds of nails. See Figure 6 . Figure 6. Splinter hemorrhage.[clinicaladvisor.com]

  • Bradyarrhythmia

    murmur, sounding lub-shhh-dub in the apical area).[cancertherapyadvisor.com] These include subconjunctival and soft palate petechiae, hemorrhages within the nail beds (splinter hemorrhages), painful subcutaneous nodules on the palms or soles (Osler[cancertherapyadvisor.com] […] intercostal space; in severe regurgitation, it may be holodiastolic, sounding lub-dub-shhh, radiating widely along the left sternal border) or mitral insufficiency (typically systolic[cancertherapyadvisor.com]

  • Cyanosis

    Admission in AIMS• Baby tachypnic• Spo2 on 5ltrs O2 85-88%, No significant upper and lower limb difference• Blood pressure – WNL• CVS - S2 appeared loud• Systolic murmur at[slideshare.net] Patients also may develop skin necrosis, ulcerations, digital gangrene, splinter hemorrhages, and livedoid vasculopathy. 2 Systemic manifestations of APS include thrombocytopenia[mdedge.com] Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[amboss.com]

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