44 year old patient being seen in my office. Reports her han | Figure 1

44 year old patient being seen in my office. Reports her hands have worsened since starting her first dose of Taxol (first dose last week) but notes that this skin condition has been there for nearly 15 years. Says it is #eczema. Is this the right diagnosis? #npstudent

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Case Summaries

1. 25 YO female with painless raised papules on her left axilla for more than 6 years. Non itchy. Presented to her GP 5 years ago and was given Flucoxacillin which didn’t do anything. The papules is only at the beginning of her axilla, doesn’t spread to inner axilla. Patient has now presented back to her GP, as she thinks the lesions are beginning to spread to the top of her left breast.

2. 9 year old girl - One week ago the first lesion appeared on her superior left eyelid and in a few days it extended to her nose. About four days ago the second lesion appeared on the left zygomatic area. Her mother has applied an ointment on the area, probably Clotrimazole, but she doesn't remember. The patient said that it itches but it doesn't hurt.

3. 45-year-old female with a history of malignant melanoma presents to her family physician with a pruritic black lesion on her leg. She mentions she first noticed it after returning from a family picnic two days earlier. She’s concerned about malignancy and requests a biopsy.

4. 54-year-old woman, she had a tumor in her left breast, she’s diabetic and has hypertension too. She’s recently received 4 doses of chemotherapy for her tumor, one dose every 21 days. In last dose this appeared in her hands, it was lightly and small, now it’s as you see, no itching or burn.

5. 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. History of hypertension, long-term smoking, and a sedentary lifestyle.

6. 28-year-old woman - presented with a 3-day history of intense pruritus over the lower back. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

7. 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.

8. 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?