another interesting one... I had never seen this before. | Figure 1

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Another interesting one... I had never seen this before.

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27 year morbidly obese female known case of hypothyroidism presented to the clinic with 3 days history of dry painful intermittent cough and shortness of breath and 1 day history of fever ranging from 37.5 to 39 described as attacks of chills then attacks of sweating. Chest x-ray was taken. Patient used paracetamol for fever but did not help.

46yom sp stab back. Nil resp distress. Trachea central. Chest clear. Nil crepitus. Mild bleeding.

53 yo male with right lateral thoracic ache for 6 months. Etoh and tobacco hx. Only has htn and takes 1 med for it. Pain increases toward the end of the day. No red flag sxs in hx for cancer. CBC WNL. LFTs and lipase pending. CXR normal. What do you think of the liver? Mass vs fake out from bowel?

Any idea about this calcification in the upper abdomen, he is 69 y m with abdominal pain ,afebrile and vitally stable no h/o abdominal surgery and no artifact.

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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?