~65 year old woman about two weeks s/p elective surgery with | Figure 1

~65 year old woman about two weeks s/p elective surgery without complication. Discharged home. Developed infection. Symptomatic with fever, nausea etc. Did not return to MD or hospital. Patient was too busy caring for family member’s kids. Finally reported to hospital with toxic mega colon. Septic emboli throughout body. Resulting MRI.

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Follow up picture to a discussion I had in regards to urinals vs #Drainage cups to assist in helping prevent hospital associated #CAUTIs. These hold 1000 mL of fluid & help reduce the risk of cross contamination by preventing the spout from encountering drained urine or touching the sides of improperly cleaned urinals. Please read the research. Our hospital CAUTI rates have declined dramatically](https://app.figure1.com/case-detail/009e6155-09b5-4595-815c-bbb909696f5d)



This umbilical lesion was discovered during hospitalization for urosepsis, surrounding tissue is hard and mod amt foul tan drainage. 74 y/o female currently receiving palliative chemo for stage 4 colon CA. PMH: rectovaginal fistula, colostomy, CKD, afib, obesity.
Patient says the oncologist told her it was a hernia but I don't think so. No further referrals or workup were done.](https://app.figure1.com/case-detail/2ffb9005-1c35-462a-8a6b-969419900204)



#Anaerobic-bacterial-infection in bloodstream.
Also, this hospital is running windows xp 2002.](https://app.figure1.com/case-detail/4365a6aa-5c7c-4fc4-9ed2-8232a620eb2c)



Sigmoid volvulus
70 year old male, history of 10 days with abdominal distension, vomiting and no pass of stool.
He came with a CT scan from a private hospital that reported a sigmoid volvulus.
We take him to the OR and did a Hartmann procedure](https://app.figure1.com/case-detail/592e8fbc-397e-492f-a3f2-ed5a92e17e43)

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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)