Pt says they "slept in wrong position." #necrotic tissue #Di | Figure 1

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Pt says they "slept in wrong position." #necrotic tissue #Dialysis #Diabetes-mellitus

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Patient is in his early 40s, hypertensive and well controlled BP. Diabetic since 2016. I worked up Ozempic to 1 mg weekly and in addition to that, patient also taking metformin 1000 mg 2x1, pioglitazone 45 mg and glimipiride 4 mg. His A1c dropped from 12.5% to 7.4% as of most recent visit. His diabetes is getting under control and the patient has lost some weight as well. Patient complains about the appearance of the feet, and states diabetic neuropathy in toes. Before was on gabapentin but didn’t tolerate is. Any suggestions how to help the feet look more appealing. Patient lives in a sunny area and always wears sandals and I am suspecting hyperpigmentation. Thank you!](https://app.figure1.com/case-detail/0223316c-a426-40f4-a32a-81f5581803a0)

Diabetic foot](https://app.figure1.com/case-detail/177913e6-6d18-49d8-8f55-0d7d8641b379)

uncontrolled diabetes](https://app.figure1.com/case-detail/2a5bbe12-1131-4eba-9537-9a2a596eee9e)

Diabetic Foot: Compromise of the blood supply from microvascular disease.](https://app.figure1.com/case-detail/716b6a17-ff21-4c39-8b11-c0e7c1fb9b7a)

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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)