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