48 year old male presents with a 6 week history of epigastri | Figure 1

48 year old male presents with a 6 week history of epigastric pain, frequent nausea and vomiting. Mentions that he vomits up old, partially digested food. At gastroscopy, images of pyloric area.

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74 years old male patient. He had an endoscopy done yerterday and today he came with back pain, vomiting, dizzyness. X-ray shows whats wrong. Updates will be here.

48 year old man came to the hospital last Friday complaining of 3 days vomiting and dizziness. He only vomits after drinking tap water once. He vomited once in those 3 days. The vomit is brown and green. No diarrhea or stomach pain or hemoptysis.
Physical exam : no organomegaly. Abdomen slightly distended
Labs: WBC, neutrophils, lymphocytes are HIGH. RBC, hemoglobin, HCT is low. Platelets normal. AST and ALT HIGH.
No previous medical history or chronic medication.
Patient was given Cefotaxime and got better.
What is the diagnosis?

S/p tularemia sepsis. Started with black eschar on thumb, then became febrile with intractable vomiting. This is after discharge.

74 yrs old/ male only with disseness and vomiting .. What do you think?

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

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A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?