middle age woman usually fit and well but has possible | Figure 1

astageldin

Emergency Medicine Resident

middle age woman usually fit and well but has possible fibromyalgia under rheumatologist had multiple scans in past inconclusive.

however her symptoms have been stable. until she had the second AstraZeneca vaccine 5 days ago.

she developed constant occipital headaches and upper arms pain today noticed bruising to ventral aspect of both arms.

on examination looks well but has headache moderate severity. cns examination nil significant.

arms examined and bruised ventral as illustrated in pictures above palpable knots along possible superficial venous clots/ thrombophlebitis.

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Healthy, overweight 30 yr/old female, all vitals within acceptable range, Blood glucose 125 after meal. She reports testing positive and significantly ill with Covid-19 at Christmas. nearly a month ago she was working outside at a COVID-19 testing and vaccine site. She had her water bottle and laid it in the grass every day. After drinking from the bottle(s) on fourth day patient found a diamond/heart shaped red blotchy rash on her upper chest, round rashes on/behind ears and neck. She has been self treating for what she thought was “allergic reaction to the sun”, to Poison Oak, now self diagnosed herself with allergic reaction to “wild parsley”. Patient states the rashes are itchy, burning, and better using lotion. Advice is greatly appreciated.

#HCPs: Attend the next COCA Call, Tuesday, March 2, at 2pm ET. Topic: What Clinicians Need to Know About the J&J/Janssen #COVID19 Vaccine. More: bit.ly.

54y/o female had kidney transplant 45 yrs ago! All transplant medications stopped 2016 and kidney function remains pristine. PT states had SARS-1 pneumonia in 2004. The past year she has been working at various Covid testing sites, resulting in directly and indirectly close contact with individuals who were positive. This amazing patient has never tested positive or been ill with Covid. She received her first Mederna vaccine early January 2021. Unfortunately had a “moderate” reaction and advised not to get second vaccine. Patient works at new COVID testing center and conducted her own Rapid COVID-19 IgG / IgM Antibody test. See photo.

Does anyone treating covid-19 patients recognize this? These pictures are taken from two different patiënts. Both have suffered from covid-19. The first two are from a lady in het late 70's, she has been in hospital with low O2 saturation, but no intensive care needed. No specific precondition. She felt a painful snap in the left hip while getting out of bed (raising the leg). Since that the whole leg has been painful, mainly from the lateral side of the hip down to the foot. Back problems are present but have not gotten worse in the last year. ER ruled out thrombosis. I believe she ruptured a flexor of the hip, followed by extensive bleeding and hematoma. BUT why the strange bleedings in the lower leg? and why the pain on the lateral, not ventral or medial side?? The third an fourth picture are from a woman early 60. Covid-19 4 weeks earlier. She had an inversion trauma of the right ankle with hematoma as we know it on the lateral side of the ankle. But about 1 1/2 weeks later she develops severe burning sensation on the right lateral side of the lower leg. And these strange hematoma that were NOT present before. Checked for thrombosis, negative. Both patiënts are recovering well. Could these bleedings in the leg, and the lateral pain be specific for recovering Covid-19 patients? Has anyone seen this before too?

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