Figure 1

ProfDrVaidya

Update of the honey and pilonidal sinus case

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Patient Case Descriptions

1. Description: Patient, male, 52 years old, without illnesses. Victim of being run over 1 month ago, admitted to the ICU for 21 days for treatment of hemopneumotorax, lung contusions and rib fractures. Currently at home, he has a 3x1.5cm ulcer on the right scapular region resulting from the accident, possibly caused by a stone pressed against the region during a run over. 4 days ago we started dressing with alginate with silver and hydrophilic foam. I have doubts about the whitish yellow fabric inside, could it be crumbling? Any suggestion? Thank you very much in advance.

2. Description: Throid goitre (orange arrow) and a sebaceous cyst (blue arrow) in a male aged 53 years. Intra operative excision.

3. Description: Cancer of the salivary gland from years of chewing betel nut.

4. Description: A 3 year old boy came with stomach ache for 3 days, there was no vomiting nor dyspnea. His weight only 10 kg, scaphoid chest, diminished left lung sound. Received treatment for lung TB 10 months before admission. What is your diagnosis?

5. Description: 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.

6. Description: 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.

7. Description: 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.

8. Description: 70 yo WF with 20y hx HTN lost 21 lbs on a semaglutide but still BMI over 30, shows drop in BP when standing, stabilizing at 102-116 systolic, 65-75 diastolic. Discontinued all HTN meds x 30 days and no episodes of HTN. Could a small weight loss like this cause a drop to normal BP? Has anyone heard of a side effect of lowering BP?