this is the same pt from my previous post. 76y/o female. #Rh | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

this is the same pt from my previous post. 76y/o female. #Rheumatoid-arthritis. On second image, she isn't missing the end of the last digit, it's just the way she is holding her hand.


Why you should join Figure 1

Similar cases

Patient with history of coronary heart disease. she take clopidogrel 75 tab and statin. she is obese. No hypertension or diabetes. she suffer from prolonged pain in her buttocks.refer to whom and what she suffer from

A women of 86yo experiences palpitations. This happens often but here friends ( also seniors) thinks she looks really pale. They call 112. At arrival she is laying on the ground alert normal color. Vitals are normal. She feels a bit dizzy, but that always stops after laying down on the ground. She tells that she has a pmhx of atrial fibrillation. Now she experiences svt.... an avnrt or atrial tachycardie.... possibly flutter. Before i could start modified valsalva she converted to sr. What rythem do you think it is. Greetings jorik

Identifying these nodules? This is a 39 yr old female who comes to the clinic for chronic complaints of joint pain and fatigue. She says she has had joint pain and fatigue for years. She says getting out of bed every morning is a challenge, she reports of stiffness in the morning and says hot showers do help. No reports of joint pain getting better as the day goes on. She does admit that the cold weather makes her joints much more painful. She has tried otc NSAIDS but they haven't really helped her. She takes natural supplements for boosting energy. She has not tried any form of steroids in the past. She has denied fever/chills with these symptoms. She was tested for autoimmune etiologies in the past with her Rheumatoid Factor negative 2012. She had an ANA, along with CCP with anti-smith antibodies last week with us and all of them were negative. CBC only showed a mild elevation in RBC, low MCV (she has hx of iron def. anemia) and low MCH. She does complain of nodules on her fingers (see pics) and toes that she has noticed for a few yrs. She says these are painful and have not subsided at all. She doesn't have any drainages from these nodules. On palpation, these nodules feel like hard calluses, in some of the digits, it almost feels like the bone is right under the skin. She does have a hx of bowing of her legs as well. She has always had this as a child but was never diagnosed with any form of bone deformity.

Female, 57 years old. She reports the appearance of "allergy" 7 days ago. She has papules and erythema in the abdomen, thorax and thighs. She feels a lot of itching. She denies ingestion with different foods, denies the use of medicines, denies contact with potential allergens. She has two dogs that sleep indoors. What is the diagnostic hypothesis? What is the treatment?

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.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

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?