Patient known to have rheumatoid arthritis and gouty arthrop | Figure 1

Patient known to have rheumatoid arthritis and gouty arthropathy. Before she was diagnosed, infected bursa left foot progressed to osteomyelitis with resultant 1st ray amputation. Stable with no pain with regular surveillance from rheumatologist and podiatrist. She wears custom molded shoes.

Similar cases

this is the same pt from my previous post. 76y/o female. #Rheumatoid-arthritis. On second image, she isn't missing the end of the last digit, it's just the way she is holding her hand.

Female, 57 years old. She work as housekeeper for 15 years. She has repeated episodes of edema, pain is limitation of movement in the left knee. She wants to retire for that reason. What is the probable diagnosis?

Patient is a 74 year old female who presented with left knee pain and swelling over the past weekend. She has a diagnosis of seronegative erosive rheumatoid arthritis. She has been on prednisone 8mg per day for a decade per her rheumatologist. Two months prior she was started in simponi aria IV every 8 weeks as well as sulfasalazine 2g daily. She had some relief of global pain, but the knee was progressively worse. Determined that a joint tap with cortisone injection was the best course. This is the fluid that we drew from the knee.

Hand scales, She is a known rheumatoid arthritis patient, she has scales on head as well but no scales on extensor surfaces. is it psoriasis ? or can it be something else ?

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?