21 y/o male with painful mouth lesions 3 years. Thoughts?? | Figure 1

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21 y/o male with painful mouth lesions 3 years. Thoughts??


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Healthy, 37 year old male. Started having these semicircular lesions on his tongue approx. 7 mo ago. Main complaint is a burning pain. Occur roughly every two weeks. My though was that these were apthous ulcers, but I thought they were generally sporadic, rather than reoccurring as in this case. He has seen a number of specialties with negative serologies, otherwise normal lab work. Thoughts?

A 29 old female, from Bangladesh, have this tongue, no any complaint, otherwise she is healthy, what suggested diagnosis?

50yo male smoker, presented with ulcerative lesions in mouth post BM transplant for lymphoma. Given antibiotics by GP previously without improvements. DDX?

painful white patchy lesions on tongue. Lesions are not remove able with tongue blade. Tongue bleeds with eating food. Pt also presents with a sore throat. Red ulcers on tonsils which are red and swollen. 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 family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?