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Here is a quick mnemonic “JUSTICE to remember about Bacterial Endocarditis Rash

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NEET PG, FMGE, NExT & NCLEX exams

Bacterial Endocarditis Rash : How To Remember Easily ?

  • J: Janeway lesions – Look for painless erythematous or hemorrhagic macules, usually on palms and soles in acute cases (e.g., Staphylococcus aureus).

  • U: Unusual findings – Watch out for Osler’s nodes, which are tender pink nodules on finger or toe pads in subacute cases (e.g., viridans streptococci).

  • S: Splinter hemorrhages – Keep an eye out for petechiae on the skin and mucosa.

  • T: Toes and fingers – Osler’s nodes are found on these areas in subacute bacterial endocarditis.

  • I: Intravenous drug use – A risk factor for acquiring bacterial endocarditis, especially when caused by viridans streptococci.

  • C: Course – Note that the subacute course is typically seen in cases involving viridans streptococci, while the acute course is associated with Staphylococcus aureus.

  • E: Endocarditis – Bacterial infection of the heart valve(s), often caused by organisms such as Streptococcus and Staphylococcus.


Mnemonic : JUSTICE

Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department