pop quiz: what do you think was used to cover this 6 cm scal | Figure 1

Aaronkun

Otolaryngology

pop quiz: what do you think was used to cover this 6 cm scalp defect from BCC?

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28yo female showed up last week for an unrelated condition and requested that several suspicious lesions were inspected, without any being particularly concerning. One was scheduled for removal today, so she showed up and also reported a new lesion that clearly was not present a week ago. What is your opinion? We’ve all agreed that we’ve never seen such a case develop so fast and that we didn’t miss it.

She had a mole, which concerned her. She had a biopsy done, and the result is as posted above. What would you tell the patient, and what else would you recommend?

78 years old, female. Ulcerated lesion in the anterior chest 2 months ago. History of chronic photoexposm. Probable #ceratoacanthoma based on Squamous cell carcinoma. Referred to the #dermatology outpatient clinic for #biopsy. 78 anos de idade, feminino. Lesão ulcerada em tórax anterior há 2 meses. História de fotoexposicao crônica. Provável #ceratoacantoma com base #carcinomaespinocelular. Encaminhada ao ambulatório de #dermatologia para #biópsia.

Excision of Spinal Cell Carcinoma of the leg; Reconstruction with a V-Y sliding flap.

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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?