39-year-old woman reports to have noticed yesterday the acne | Figure 1

tomazlm

Internal Medicine

39-year-old woman reports to have noticed yesterday the acneiform eruption shown above, only on her face, for 1 day, nonpainful, slightly (almost not) itchy. Denies any systemic symptoms. Denies use of any medications, new lotions or new makeup. Denies ingestion of any meals outside her typical diet. Reports to have started the ingestion of whey protein one month ago.

Trending Cases

51 year-old man reports to have noticed this morning the macules above on his legs. Not itchy, nonpainful. Denies fever, arthralgia or other symptoms. Denies similar findings on close contacts or use of unusual lotions. Reports to have shaved the area 2 weeks ago.

36-year-old woman reports the generalized urticariform rash shown above for 1 day, sparing palms and soles, associated with pruritus, a burning sensation and a temperature of 37,3 °C (99,1 °F). She denies any other symptom, use of any medication, ingestion of any unusual foods or contact with similar cases. Her physical examination is otherwise unremarkable.

6-year-old girl presents with the lesion shown above for 3 days, itchy, tender and warm, with a hardened base. Her mother denies vesicles, fever, pharyngitis, lesions elsewhere, insect bites or any other symptoms. Reports exposure to the sun. Her physical exam is otherwise unremarkable.

35yo female complaining of 36 hr history of pruritic raised rash on both dorsal forearms. Denies any history of new interactions, detergents, oils, or creams. Pt stated that prior to the rash she interacted with her 2 turtles and cleaned their tank. Any ideas?

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?