Patient with Coxsackie vs Erythema Multiforma case from earl | Figure 1
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Patient presenting with continuing painful, burning blisters on feet that occur during and after wearing work boots - pt is a finish construction worker. Any advice would be welcome.
Cases
Patient reports having this rash for years. Other than occasional itch, that is mild in severity, patient is asymptomatic, with the exception of a few of the lesions on her knuckles, which are tender to the touch. Patient does feel like sometimes the rash moves. She shares that it may also be worse when wet. Patient received treatment in the past, triamcinolone, but was unable to take it as prescribed and then patient ended up giving the medication to her son for his eczema (he had no PCP). Patient believes her rash is likely eczema, but would like to rule out scabies as she has had exposure in the past and wants to make sure she does not have a chronic version of it. In terms of history, she has no personal history of melanoma or non-melanoma skin cancer. She does have a family history of skin cancers (her sister) and other cancers (breast cancer in the same sister). Patient denies any known autoimmune condition, but does explain that she is prediabetic and takes Metformin and Ozempic.
72 years old, male. Patient has this lesion in the right auricle for about 1 year. The lesion began as a small papule and evolved into the image lesion. Considering the image, what is the probable diagnosis?
58-year-old Asian female. States she has worms coming out of her body. Has been to 2 hospitals for TX. Unfortunately, the first hospital took a skin biopsy and sent patient home. 2nd hospital sent her to the psych ward for a few hours and then discharged pt home. Patient has a h/o Bachets syndrome. Patient is currently awaiting her dermatologist appointment. States she has collected worm like larva in plastic bags. Patient feels like her body is under attack from some sort of larva/worms.
Patient has 5 year history of itching rash on entire body. Patient is from Vietnam. Spares face.
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.
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. Are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?