30 year old female patient with no history of trauma present | Figure 1

30 year old female patient with no history of trauma presented with changes at the base of her Right hallux nail ... skin is separated at the medical base of nail and a black lesion/fibre seems stuck underneath but cannot be easily removed. No redness or pus is noted and patient relates no pain with probing or pressure. Pt states it has been there 2 weeks and is otherwise healthy.

Similar cases

Patient is a 31 year old Chinese American that presents with a change in the color of the nail bed. Coloration is located on 1st digit of the left foot. Patient reports no previous trauma to the nail and has no other color changes in any other nail. Patient is WD/WN. I think it might be BCC. Any thoughts?

diagnosis? Patient saw many professionals in the medical field who keep say it is fungal but on appearance the fungus was distal to the nail along the nail bed, and medial lateral nail corners. Nails were brittle. Suspect years of trauma to nails causing them to thicken with slight #Onycholysis. Any further suggestions? Patient is fit and healthy but nails were yellow on presentation.

72 year old lady with cognitive decline and anxiety. Reports that her daughter stepped on her foot 5 weeks prior and the nail was lifted and bruised. There was a sweet/ fermented smell coming from the nail so I removed the nail plate to investigate. We have not taken cultures but are treating based on clinical signs. What bacteria is this and what treatment methods would you use?

69 year old male with unusual #Hyperpigmentation at base of nails affecting all fingers. No diagnosis given to patient. Present for years. Only pertinent medical history is chronic alcohol abuse. Any ideas?

Trending now

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?