53 yo male with right lateral thoracic ache for 6 months. Et | Figure 1

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53 yo male with right lateral thoracic ache for 6 months. Etoh and tobacco hx. Only has htn and takes 1 med for it. Pain increases toward the end of the day. No red flag sxs in hx for cancer. CBC WNL. LFTs and lipase pending. CXR normal. What do you think of the liver? Mass vs fake out from bowel?


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47yo Female presenting with 3 week history of dyspnea and abdominal pain. Sorry for poor quality of ECG!



Female 32yo.In 2015 diagnosis of pancreatic duct adenocarcinoma of the head cT3N0M1,liver mets was established.During last 2 years patient received palliative chemotherapy:gemzar 6,folfirinox 4, hepatic tumor chemoembolization 3. Nowadays she has stable disease. Due to atypical course of disease and good clinical status another entity has been suspected. Core biopsy of the hepatic lesion revealed that it may be pancreatic NEC with liver mets. Patient was presented at tumorboard and moved to surgery



Based on the pathology images presented, you make the diagnosis - clinical scenario - female in late fifties presents with acute nausea vomiting and diarrhea; what is the most likely diagnosis??



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?