When I was told my next patient had toe pain x1 wk after a b | Figure 1

When I was told my next patient had toe pain x1 wk after a basketball injury, I kind of rolled my eyes... Until he took off his boot!

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update on my last post. About 2 weeks after #Sutures](https://app.figure1.com/case-detail/150a9c66-fd23-4277-b812-8627546b2e61)



2 days after. Previous photo in my file. Will be seeing a specialist for excision](https://app.figure1.com/case-detail/18f77e2f-e3e8-4e9a-8177-705e7adef4b5)



follow up from my previous post.](https://app.figure1.com/case-detail/288b29bb-2371-4c7b-b3b6-2f4093bd50fe)



61yof had bilateral hip relacements one year apart. 3 months later developed a “ripple” on several finger nails. Has had excema for years but this became aggravated at this same time. Doctors offered nothing ither than steroids, progressively more potent. Palms and soles cracking now. I measured an elevated TSH (my own lab ... used just for screening so will have to send away for T3 and T4). IgE normal. FBC normal now, slight neutrophylia after last procedure. ESR 3mm. CK elevated at 245.
My question: Can hypothyroidism per se cause this?](https://app.figure1.com/case-detail/3372ae7b-f382-475e-8329-c36986f6582f)

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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)