56 year old male presents to the urgent care. SX: tachycard | Figure 1
Case Presentation
56 year old male presents to the urgent care. SX: tachycardia(126 bpm), fever(101.2°F), swollen lymph nodes, SOB (Sp02 91%) x5 days. Neg. Covid_19, flu, and strep. Pt states he periodically has reddish rash on arms and lower trunk that aches and itches followed by days or weeks of extreme fatigue. Although the rash had subsided prior to being seen. Ideas?
Additional Cases
29/F came in for consult due to pruritic rashes.
Symptoms started 4 days prior as a flat, pruritic erythematous rash on her abdomen. She claims that the rash expanded in a span of a few days along with eruption of new rashes of similar morphology on the rest of her abdomen, back, nape, arms and thighs.
There was a history of an undocumented one-day fever days prior the appearance of the first rash. There were no joint pains, no intake of any medications or drugs. Relatives of close contact do not exhibit the rashes.
She has no known allergies.
On examination, rashes are maculopapular to patchy with occasional papulosquamous reaction.
Any idea what could the diagnosis be? Was thinking of PR or Guttate Psoriasis.
28 yo male, 4 day hx of rash starting as papules that coalesced over the next day. No rash anywhere else. Systemically well, not taking any medications. Self treated with 3 days of 1% hydrocortisone with no improvement. What is the diagnosis?
A day prior to admission, patient had skin rash on the upper body. No fever noted.
The next day, rashes worsen, platelet decreased to 110 from 121. Rashes progress to the arms.
Patient has family history of SLE. Could this be SLE?
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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.
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?