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54 yo female, known with metabolic syndrome on treatment with good adherence to her treatments. Two days ago her cat nailed her right leg. She woke up today, feeling cold with a burning sensation on her leg and severe pain. Weight 167 kg, Bp = 158/117 mmHg, pulse = 89 bpm, t° 37.8 °C. Leg slightly swollen, reddish skin, warm and tender. A small laceration leaking a clear fluid not with a calf hard warm and tender. Pictures 1 and 2 right leg, pictures 3 and 4 left leg. How can we approach this patient with a HGT (glucose) 16.9 mmol/l urine dipstick = glucose 4+.

38 yr old gentleman with underlying epilepsy and MVA. Not wearing helmet. Had loss of consciousness and retrograde amnesia. Regained consciousness in the ambulance. GCS on arrival full and vital signs stable. CT brain showed no intracranial bleed. Referred to plastic surgery.

Patient presents with uncontrolled diabetes. All information to date on the patient presented. Patient on 4 #Metformin daily for past 3 months. Patient reports resolving #Diarrhea to one normal stool daily. Adverse reaction to #Metformin? #Metformin not controlling #Diabetes-mellitus? #TSH is 4.13? Result of uncontrolled #Diabetes-mellitus?

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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?