Female, 63 years old. The patient says that one month ago sh | Figure 1
ReginaldoCastro
Internal Medicine
Female, 63 years old. The patient says that one month ago she has an itch in the posterior region of the left ear. She reports that the lesion presents scaling. She is using Nebacetin ointment, but said the injury does not improved. In the clinical evaluation we see a desquamation circumscribed to the fold line between the auricular pavilion and the cervical region, in addition to erythema around. What is the diagnosis and treatment?
Similar cases
26 yo F has rashes with mild sore throat x 6 days. Initially on L arm (fig 1), the upper chest (2), and back (3), R arm, and feet (not on the sole). Occasional mild itchy. Took Benadryl w/o improving. She was treated with Lotrisone two days after symptom onset. However, rashes continued to spread to bil thighs, also lower eyelid. She reports that she didn’t scratch. No Pmh, no new exposure. Vitals wnl. On exam, rashes blanchable. Viral exanthem? Management? Thanks for your insights.
39 yom, RHD, psoriasis on penis, R eyelid, scalp. All well controlled with Dovobet. These lesions are not responsive to Dovobet. Very slowly enlarging over the last 2 yrs. Lesions are sensitive to pressure and heat. Suggestions?
#Psoriasis Two weeks after initiating treatment with Diprosalic ointment. Patient feels better with reduced itching.
A 23 yo married female came to me with these rough reticulated pimples appeared on her both hands, leg, and elbow, which feel itchy. No history of any disease except mild anemia. She had 3 cats; she mentioned that she walked under the hot sun for a while and she was applying clacipotriol with betamethasone (daivobet) on her abdomen for something else. She applied fucidic acid with corticosteroid with no effect. Could this be an allergic reaction to daivobet? What could this be and what’s the proper 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?