is it hyperpigmented tongue or any pathology ?suggestions if | Figure 1

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is it hyperpigmented tongue or any pathology ?suggestions if any

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any ideas? Very painful upon swallowing and talking. Reports that it felt like a small sore starting 4 days ago, last night kept her up all night. ](https://app.figure1.com/case-detail/07bfc5d6-572b-4b3e-8537-10e644877b32)



Tongue lesion asymptomatic lateral and ventral regions of the tongue bilateral existing for over 3 years. Any ideas for dx and tx? ](https://app.figure1.com/case-detail/0e8ddfb7-c6fd-4f71-9fbc-a08b40b47015)



A 52 y old patient complaining of this tender mass above the corner of the mouth more than a month ago there is no other lesion\nthe mass didn't get larger in size\npatient has no systemic diseases\nBut smoker with poor oral hygiene. ](https://app.figure1.com/case-detail/27480201-d143-41b1-b576-21c379d473cf)



43 years old female presented with these lesions, any helpful comments ? ](https://app.figure1.com/case-detail/38b936a7-34bd-4f3b-a66b-2f73bd5fe963)

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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.\nHe had a history of hypertension, long-term smoking, and a sedentary lifestyle.\nOn 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.\nPhysical 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)