what do you think? Patient had this 1 day after playing tenn | Figure 1

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what do you think? Patient had this 1 day after playing tennis at night. Complained of a lot of pesky bugs while playing.

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Healthy 26 yo Male presents with mildly tender, non-pruitic pustule with erythematous base on left lower leg for 1 day. No recent travel, no history of similar lesions, no recent hiking/woods, plays with dog in his yard daily. Current thought: Fireant bite, patient confirms several ant hills in yard.



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40 yo female present with Pruritic rash that started while she was on a weekend trip playing golf. Her partner has similar lesions. Rash persists after returning home. She has a dog but denies the dog showing any signs of fleas. My suspicion is #Chigger-bites. Thoughts?



pt thinks he was "bit by a spider" 2 days ago. Unwitnessed bite, but living in new house with lots of spiders seen around. Pt out playing golf on day 1 and noticed itching/mild irritation at site. The next day developed into blister + pitting ankle edema (now worse than picture). Mild inguinal lymphadenopathy noted. Patient afebrile. Thoughts?

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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?