52 year old female presenting with #Ecchymoses on arms and l | Figure 1

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52 year old female presenting with #Ecchymoses on arms and legs. Complains of headache and dizziness. BP: 152/97 HR: 56 BG: 76. Results of blood draw in picture. Blood count normal. Ag HBs positive. Ac anti HBs negative. SGOT elevated. SGPT normal. GGT elevated. Bili total normal. Any treatment ideas? Patient lives in farming village in Cambodia and has limited access to healthcare. We are a small NGO providing some health checks and medication.

45 year old male presented with complain of fever from 45 days which is high grade no focus of fever found on history clinical examination reveal temperature of 104 pulse 120 beats per minute normotensive normal glycemic all the systemic examination unremarkable initial lab investigation done which shows HB of 8.3 platelets 222 and WBCS 0.6 wd absolute neutrophil count 174. Hepatitis b c negative lft is normal rft normal serum electrolyte normal blood culture negative brucella antibodies normal limit ECG and echo normal ANA positive ..but ENA profile negative HRCT chest interstitial pneumonitis. Vitamin B12 levels was low normal folic acid levels bone marrow shows hypocellular aplasia. Patient is initially treated with injection cefotaxime B 12 replacement. Iron supplements. But the fever persist then the antibiotic cover gvn... antimalarial given...but the fever and bicyotopenia persist.

This patient was a chronic alcoholic. Had multiple blood filled cysts. What's the diagnosis? The liver weighed 4.4kg.

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?