Sacral ulcer | Figure 1

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Sacral ulcer

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pressure sores sacrum



AP image from an upper GI shows an abnormal appearance of the stomach. There is a gastric ulcer with a focal outpouching of the gastric body (arrow) and heaped up walls. A second ulcer is present more superiorly (arrowhead). This ulcer lead to perforation and free leakage of contrast was seen on upper GI. Our understanding of H. Pylori and its causative relationship with gastric ulcers has led to a shift in how patients with ulcer are diagnosed. It is now rare to make these findings on upper GI. #TummyTuesday



sacral ulcer stage IV



#Pressure-ulcers Kennedy terminal ulcer. Hallmark butterfly shaped ulcer. Quick to develop over 24 hour period

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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?