Ram only to left side of body for 2 days. Non pruritic, non | Figure 1
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Case Description
Ram only to left side of body for 2 days. Non pruritic, non tender. Afebrile. No history of chicken pox. Immunizations up to date. Simply contact dermatitis?
4yo girl posterior thigh unilateral lesion. Palpable dry and pink with few rough hallo. Few satellite lesions. Otherwise healthy. Not known for eczema. Swimmer. Cat at home.
After 2 weeks local clotrimazole small response and redness without extension or new lesions.
I continued 2 more weeks and I'll see her back to check evolution before proposing maybe systemic treatment if insufficient response.
No squams to send to lab so no dermatophyte confirmation.
Is redness normal treatment response?
Other propositions?
Wood lamp examination was negative.
Thank you.
This 12-year-old boy presented with above lesion on the back. Father said that 3 nights ago, the boy went to bed and woke up in the morning with pain and redness of the back. Dx?!
11yo-boy suffered from chronic itching rash especially at night. It persists for two weeks. But other family members have no symptoms. It does not involve hands and no tunnels. Is this scabies? I have no idea of DDx.
9yo female in USA presents to family medicine clinic with 1 week of rash on left check that extends onto left neck. Seen in urgent care center at onset and given cephalexin. Mom reports redness had improved. Today I note that b/l eyelids and right check are mildly rough and erythematous as well with increased skin lines. No new creams or soaps. No hx of eczema. Incidentally, this is the same pt I posted last year with gianotti-crosti. I'm thinking contact derm or eczema. May have had secondary bacterial infection (impetigo maybe) on left cheek at onset but I did not see pt at onset. Your thoughts?
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 the family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?