received a request for peripheral smear evaluation for a 23- | Figure 1

received a request for peripheral smear evaluation for a 23-year-old female presenting with a 3-day fever after coming from a region endemic with malaria... microscopy showed moderate lymphocytosis, no malarial parasites or thrombocytopenia seen... but i could have sworn by her neutrophil here that she's flirting... 😂

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Reduced Oxygen Breathing Device (ROBD) is a mask which simulates oxygen level at altitude so aviators can identify hypoxia symptoms and how to recognize these at onset. In this particular scenario, simulated 25,000ft elevation and oxygen saturation went to 67%. Performing basic math and answering questions was a challenge. #militarymedicine](https://app.figure1.com/case-detail/0377b245-6373-4e62-9993-c1f1eef37e0c)



73 y/o m 7/10 chest pain for an hour and a half at home started at rest. No pallor diaphoresis or obvious distress. Hx of htn and diabetes. What do you see how would you treat. Vitals hr 84 bp 82/42 spo2 96 rr 20](https://app.figure1.com/case-detail/15c6512f-3c50-4304-9f41-f07d73ffc610)



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80y old male. Adm for septic arthritis. Planned arthroscopy in am. Febrile, elevated leuco, highly elevated leuco in kneeaspirate. Has biolocal valvular prothesesis. What antibiotic regiment to give for endocarditis prophylaxis?!](https://app.figure1.com/case-detail/630c329b-b0f3-4a3b-9504-fda5237aa494)

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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.
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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)