Clinical Examination TOPIC

• Blood Pressure (BP): 110/70 mmHg, P.R. 98/min, SatO2: 97% , Temp: 37,9oC
• Hemorrhagic lesions on soles and painful nodes on the fingertips (see Figure 1)
• Non palpable lymphnodes
• Rythmic cardiac sounds, systolic murmur 3/6 on the apex
• No evidence of active pulmonary disease
• Abdomen soft, non tender, mild splenomegaly
• Unremarkable neurological examination. GCS 15/15

Figure 1: The patient showed hemorrhagic lesions on soles (left) and painful nodes on the fingertips (right)

Basic clinical findings

• Fever during the last week
• Systolic murmur 3/6 on the apex
• Janeway lesions and Osler nodes
• Medical history of Systemic Lupus Erythymatosus (SLE)– Positive anti-phospholipid antibodies
• Recent periodontal abscess and dental works