Giant fecal mass. In Brazil also known as "fecaloma". | Figure 1

Giant fecal mass. In Brazil also known as "fecaloma".

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46 yo Caucasian male presents to urgent care for a recheck after the first 2 images (provider diagnosed with kidney stone with trace blood in urine sin CVA tenderness). Pt complains of lower abdominal pain that was cramps and extremely painful which caused him to vomit 4 times w/o blood and he felt weak. BP: 106/70 Pulse: 112 Resp: 15 Temp: 98.2 O2: 96% Pt was anxious on exam with hyperactive bowel sound and nontender abdomen with normal heart and lungs. Diagnosis? Treatment? What sign is noticed on the first 2 X-rays?

Ileus in 60 year old male with chronic cholecystitis. Guess the cause!? #ileus #Intestine](https://app.figure1.com/case-detail/297168ce-4509-47bd-b633-e4ea37e3a187)

SBO with perforation](https://app.figure1.com/case-detail/5472231d-9ea2-4e71-8356-7af6e63f1c7b)

A case of intestinal obstruction.](https://app.figure1.com/case-detail/608eea78-c27a-419b-9539-7a0838cb7c8c)

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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?