Chronic cough for 20 years | Figure 1

Chronic cough for 20 years

I have had a 70 yo male patient with chronic cough for 20 years. Spirometry, x-ray, and blood test NAD. He has tried medication for GERD without any success. He has also tried cortisone inhalers and nasal spray without any success. He doesn't take any medications. He has never smoked and he doesn't have any allergies. The coughing is kind of associated with his speech and it's always dry. Doesn't matter what time during the day. Any ideas?

This patient has had these hypopigmentations for over a year. Hasn't tried anything for it. No itching or pain and no other rash anywhere else. He isn't on any medications. He has some tattoos, which are covered for privacy.

A 50 years old man without illness. Just a radio for hips. He travels in Asia and Africa. Live in France and didn't take medications. He doesn't have any surgery. What do you think about ?

34 yo male patient arrived at ED, he was complaining about difficulty breathing for 4 days. BP: 148/85 mmHg, P: 145/min, SpO2: 94%, 100% with 12 L/min on non-rebreather mask, RR: 40/min, GCS: 15, T: 38 C. He doesn't smoke, doesn't have any illnesses, doesn't take any medication. After many times of asking him whether he had an accident, he mentioned that he hit his left leg a week ago. This is all we know and now you can see his X-ray.

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?