What it means
Spots, sometimes slightly bleeding into the skin, that do not hurt when pressed. They are a classic finding in infective endocarditis, an infection of the heart's lining and valves, and come from tiny clumps of infected material lodging in small blood vessels. They are named after Edward Janeway, an American physician. They are easily mixed up with Osler nodesOHS-ler NOHDZSmall, tender, red or purple raised bumps on the pads of the fingers or toes.Full entry , which are painful, raised bumps on the finger and toe pads.
For the nurse
Look at the palms and soles in a client with fever and a heart murmur, a history of IV drug use or an artificial valve, and report new spots.
Remember it
Janeway is painless; Osler nodes are "Ouch-ler."
At a glance
| Also written | Janeway lesion |
|---|
Easy to confuse with
Osler nodes
Small, tender, red or purple raised bumps on the pads of the fingers or toes.
Related terms
lesion
An area of tissue that has been damaged or has changed from normal, such as a sore, wound, lump or spot.
Osler nodes
Small, tender, red or purple raised bumps on the pads of the fingers or toes.