Iron deficiency anaemia and weight loss. What do you see? | Figure 1

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Iron deficiency anaemia and weight loss. What do you see?

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innumerable liver mets and some lesions in lung as well. CT ordered to eval for acute anemia and melena, no primary source identified. Ferritin greater than 1,000. First patient I will be discussing cancer diagnosis with. #livermets #Cancer #Anemia #Fatigue

Hemicolectomy due to colon cancer.](https://app.figure1.com/case-detail/3e3ab363-6f88-4d84-92b4-f2751152b53c)

62 yo female, came in due to abd distention, generalized abd pain and no bowel movement or flatus for 5 days. on DRE: rectal vault empty and collapsed. Initial Impression: Complete GUT Obstruction prob sec to colonic mass. WACT done showed a sigmoid mass approx 4cm, completely obstructing the lumen. pt was immediately scheduled for exlap. Intraoperatively, omentum was noted to be plastered to the sigmoid. Upon mobilization of the omentum, entire abdomen immediately filled up with fecal material. It turns out the sigmoid was already perforated proximal to the mass but no spillage thanks to the overlying omentum. Patient eventually underwent abdominal lavage, anterior resection with hartmann's procedure. Specimen: Sigmoid-Proximal Rectum. hundreds of polyps noted in colon. Histopath: AdenoCA, Polyposis, (+) for schistosoma ova Diagnosis: CGO sec to Sigmoid AdenoCA, Polyposis Coli, Schistosomiasis As to the perforation, chronic lesions like this malignancy rarely lead to perforation. Could the integrity of the colon have been compromised by the polyposis + schisto infection? Thoughts?

37 yo female with abdominal pain. Yellow arrows show large colon adenocarcinoma with invasion of stomach (red arrow). Surgery included hemicolectomy and partial gastrectomy

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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?