Infective Endocarditis Q

[hartbot]

Does anyone know the pathogenesis of ROth's spots, osler nodes, janeway lesions and splinter hemmorhages?

Are they IC deposition, or infective bacterial particles that broke off from the heart?

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[vkhullar]

Does anyone know the pathogenesis of ROth's spots, osler nodes, janeway lesions and splinter hemmorhages?

Are they IC deposition, or infective bacterial particles that broke off from the heart?

Well except Osler's nodes, I believe they are all microemboli from the infective valve.

Osler's nodes are actually immune complex deposition.

 

[knuckles]

http://forums.studentdoctor.net/showthread.php?t=682536

 

[aashkab]

the other thread says roth's spots are IC from goljan and everythign else is microemboli.

i'm just going to stick with microemboli for all of them, lol, thats way too controversial