Figure 201a

Common Peripheral Manifestations of Infective Endocarditis.

Splinter hemorrhages(Panel A) are normally seen under the fingernails. They are usually linear and red for the firstr two to three days and brownish thereafter.
Panel B shows conjunctival petechiae.
Osler's nodes (Panel C)are tender, subcutaneous nodules, often in the pulp of the digits or the thenar eminence.
Janeway's lesions (Panel D) are nontender, erythematous, hemorrhagic, or pustular lesions, often on the palms or soles.

Reference:Firsche,C. and others,Mitral-Valve Endocarditis,N Engl J Med.Vol. 345,NO.10,September6,2001,P739.