Have a guess about this diagnosis? (Hint:the 2 pinpoint area | Figure 1

squnky21

Nurse Practitioner

Have a guess about this diagnosis? (Hint: the 2 pinpoint areas are self inflicted and not the cause)

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Gets recurrent cold sores. This one began 10 days ago, getting worse. She has been applying alcohol and Eucerin. Was given acyclovir but only at the prophylaxis dose and started that just 1 day ago. How would you advise or change management?](https://app.figure1.com/case-detail/04211a6c-0386-45a3-90c3-faa3256424b6)


50 y/o female, this lesion suddenly appeared 2 days ago, situated on medial thigh, no itch, intense pain (like a burn), maybe insect bite? Any ideas for diagnosis?](https://app.figure1.com/case-detail/05e986ae-4942-4432-aab4-8357f230f6cd)


Pic 1. This was the rash two days before pic 2. Just the vesicle and flat lesion. Any ideas?](https://app.figure1.com/case-detail/2551784f-367b-4b56-9dd5-6865255a7e67)


UPDATE to the previous case after few days on topical aciclovir for suspected HSV stomatitis](https://app.figure1.com/case-detail/3919f295-097d-408b-b4d0-bad58e274687)

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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.](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. Physical 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)