68 y/o with ANA 1:160, ssDna 260, CRP 1.23, C3-4 wnl. DsDNA | Figure 1

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68 y/o with ANA 1:160, ssDna 260, CRP 1.23, C3-4 wnl. DsDNA (-). 1 year of sore throat. 2 months of itchy rash in anterior chest and back and thighs. Started plaquenil today. Takes protonix, started carafate for possible reflux irritation. Throat exam is normal; neck, chest, abdomen negative; no arthritis. CK 72.

These are the best pics I was able to take of the back of the throat. As of now I am holding off on any new prescriptions. ENT is who mentioned lesions in back of throat. I am assuming he was discussing the whitened areas in the crevices bilaterally.

pec flap in the #Oropharyngeal space...nothing like chest hair in your throat

no caption needed. But here is what he said: "It started as this one big spot on my chest and then over the last two weeks I got all of these smaller ones.. I itch like crazy."

3yo male. No PMH. Afebrile. No recent illnesses. Rash isolated to neck and chest. Mom recently with sore throat.

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?