54 y/o patient presented with red rash-like dots all over bo | Figure 1

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54 y/o patient presented with red rash-like dots all over body. Said this has been going on for over a month. Patient said they itch sometimes, and some do have scabs over them. Initially thought was ring-worm, but they look almost like chigger bites. Patient also has regular sun exposure. Diagnosis?

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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"



Multiple papules on the posterior cervical region, some excoriated with the characteristic of following a path.
Male patient, 24 years old. He has congenital deafness and has no other pathologies.
He says he has intense itching, especially at night.
The patient's mother said that he had these lesions a few months ago and that he used an antifungal to treat them. They have a pet dog.
What is the likely diagnosis?



#Dermatitis??
A 17yr old male with history of dermatitis?? lasting over six months. Started after first time swim in a public swimming pool, recurrently aggravated by regular body creams. Patients has used OTC triple action creams and hydraulic. Patient said hydraulic fluid worked better but recently got worse. Diagnosis? Treatment? thanks



Digital subtraction angiography of the left renal artery shows abnormal blood vessels throughout the left kidney. There is a large aneurysm (arrow) in the left upper pole with a faint jet of contrast extending superiorly and laterally from the lesion.
Angiomyolipomas are said to be more likely to bleed when they are larger than 4 cm. However, this claim has never been studied in patients with tuberous sclerosis as they often have lesions much larger than 4 cm. If the patient is symptomatic or has had a bleeding event, the aneurysm can be treated via coil embolization. #FridayQuizDay #Quiz #FridayQuiz



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?