Schistocytes # Thrombotic-thrombocytopenic-purpura-hemolytic-uremic-syndrome secondary to sepsis

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Sickle blood cells (left) normal blood fells (right)](https://app.figure1.com/case-detail/145c0337-f25f-46a1-9b8e-5a71c523c8c0)

Interesting NRBC's in a middle aged male with sepsis from Pseudomonas and K.pneumoniae... 11 NRBC/100 WBC with occasional dysplastic forms as pictured. Rare NRBC's show basophilic stippling. Marked target cells. HB = 86, MCV = 81. LFT's are elevated. Any thoughts on the significance of these abnormal NRBC? Unfortunately I don't have access to the patient's full history.](https://app.figure1.com/case-detail/1ddfdb87-8d3e-4b10-92bd-2b31e7611239)

RBC morphology scan #Sickle-cell-disease 18.3 #Retic count](https://app.figure1.com/case-detail/392a3013-c6f2-4eda-973c-4f83b812ef9a)

HCT of 12 on a 50 YO ED patient](https://app.figure1.com/case-detail/4dd0cd8c-c3d2-4806-afde-3b633b0625d7)

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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)