1.5/52 history of a developing rash in a 87yo Female she was | Figure 1

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79 year old woman who was referred by her primary care physician for evaluation of progressive increase in rubor of the lower extremities in other locations. There is concern about underlying venous disease due to presence of multiple areas of small purple discolored veins on the legs. began to develop redness of the lower legs a little over a year ago that has gradually progressed. She has noted redness of the lower legs, knee areas into the thighs, extending up into the abdomen, and backs of the arms. This has been chronic, and is not accompanied by any itching, or open wounds. She has a very fine macular rash evenly distributed bilaterally symmetrical, on both legs as noted above from the lower third of the leg to the foot, an area encompassing above and below and including the knees, and then traveling up the inner thighs into the groin area, covering the pubic area, into the abdomen. This travels to the lateral flanks bilaterally, but spares the back. The chest is spared. The rash is also present on the extensor surfaces of the arms, elbows, and forearms. She was recently diagnosed with Normal pressure hydrocephalus. She had history of acoustic neuroma he diagnosed two years ago but has not been treated. She has history of Lyme disease five years ago. Her basic labs fairly unremarkable. Is this rash concerning at all for any underlying disease? Should I do any work

A 7 months old baby has this for 2 months, this from his leg, it is also on the other leg and both chicks and other parts of his body

7-8 year duration of severe rash both feet. Has tried various steroid creams which initially improved the condition for a few days and then it flares up again. Bc of travel to Mexico but condition started well after that trip. Has kidney disease but this is now stable and not much feeling in feet. No other areas on body. Had not transmitted to spouse or others.

A 13-year old girl with a 2.5-month history of this rash on the whole body (arms, legs, forehead, abdomen, back). The rash has desquamation at the border (not clearly seen on the pictures). There are no other symptoms. The similar episode she has 1.5-year ago. PHx and SHx are unremarkable. My provisional diagnosis is erythema annulare centrifugum. What is your opinion? What would be a treatment?

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?