58 years old, female. She is in the office for routine labor | Figure 1

ReginaldoCastro

Internal Medicine

58 years old, female. She is in the office for routine laboratory tests and has no clinical complaints.

She does not use medications, without a family pathological history. She said she has been working under the sun in the countryside for many years and that she does not use protection.

During the physical examination I noticed a small ulcerated lesion in the nasal back. She said she has had this lesion for a year and that it does not heal.

What is the probable diagnosis?

89 year old woman. Lesions started ~2 years ago. Haven't really evolved during that time. does not itch, hurt. Has not sought for treatment before. Has congestive heart disease, arterial valve stenosis, atherosclerosis. She herself thinks that lesions have something to do with a pesticide, that was used near her house. Lesions are in the legs, arms (photo). Also has similar lesions on left side of chest (resemble lesions on arms.)

45 years old, female. Circular lesion near the left nostril. Patient used Efurix ointment that burned the lesion. But after 2 months, the injury grew again. She said that the lesion can bleed at mechanical stimulation. What is the probable diagnosis in this case?

15 years old, female. Patient without pathological history and does not use medications. Student. A week ago she noticed the appearance of this itchy lesion on the left arm. She said the injury was small and progressed in a centrifugal way. What is the probable diagnosis?

Patient greater than 80 years old with this lesion to the top of her head. Not much history on her but she said a MD in the past said it was cancerous. I'm not great with dermatology....

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?