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This is an update. The complete first EKG, also the EKG after initial management and I uploaded the initial xray. Ill be putting some other data along the case.

32 year old, had similar rash on his leg twice in last year, disappeared in 2-3 days without any treatment.

Male, 17 year old without any complaints, except slight abdominal pain. No have possibility to make CT. Any ideas?

24 y/o female c/o vaginal discharge and "possible exposure to STD." States she was previously tested in ED 1 week ago for vaginal itching and discharge and called to advise results were abnormal and to F/U with PCP but does not know results. States that incidentally has had rash for the past month that started on feet and has spread to legs, and is now starting to notice rash on back and proximal arms. Denies F/C, or any recent illness. Rash is not pruritic. Small red papules noted on BLE, proximal BUE, and lower back. Each papule has surrounding white halo approx 1cm. No palms or soles involvement. Any suggestions as to what rash could be?

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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.

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?