Which item is not part of the FROMJANE mnemonic for endocarditis?

Which item is not part of the FROMJANE mnemonic for endocarditis?

• A. Friction rub
• B. Fever
• C. Roth spots
• D. Janeway lesions

Answer: (A)

Friction rub is not part of endocarditis findings. The FROMJANE list includes Fever, Roth spots, Osler nodes, Murmur, Janeway lesions, Anemia, Nail-bed hemorrhages, and Emboli. These are classic signs or consequences of infective endocarditis, reflecting fever and systemic/vascular involvement from valvular infection. Friction rub, by contrast, comes from pericardial inflammation and is not a feature of endocarditis, so it doesn’t belong in this mnemonic. The items that ARE included help you recognize endocarditis: fever is common, Roth spots are retinal hemorrhages with pale centers, Osler nodes are painful fingertip nodules, murmurs arise from valvular damage, Janeway lesions are painless palms/soles lesions, anemia can occur, nail-bed hemorrhages reflect vascular phenomena, and emboli can travel to distant sites.

Friction rub is not part of endocarditis findings. The FROMJANE list includes Fever, Roth spots, Osler nodes, Murmur, Janeway lesions, Anemia, Nail-bed hemorrhages, and Emboli. These are classic signs or consequences of infective endocarditis, reflecting fever and systemic/vascular involvement from valvular infection. Friction rub, by contrast, comes from pericardial inflammation and is not a feature of endocarditis, so it doesn’t belong in this mnemonic. The items that ARE included help you recognize endocarditis: fever is common, Roth spots are retinal hemorrhages with pale centers, Osler nodes are painful fingertip nodules, murmurs arise from valvular damage, Janeway lesions are painless palms/soles lesions, anemia can occur, nail-bed hemorrhages reflect vascular phenomena, and emboli can travel to distant sites.