Update of clinical case. We are using Prednisone 20 mg daily | Figure 1

ReginaldoCastro

Internal Medicine

Update of clinical case.

We are using Prednisone 20 mg daily and recently she received Ceftriaxone due to a resistant urinary tract infection. The first two images show the lesions at the start of treatment. The third photo shows the evolution of the treatment and the last two images show how she is today.

More about this case

ResolvedTrending

Trending now

52-year-old female with a one-week history of pink papular rash. Has been worsening over the past week with treatment with topical corticosteroids. She has no medical history except depression and joint replacements. Images show progression of the rash. This is a patient seen in my acute care clinic today.

Female, 57 years old. She reports the appearance of "allergy" 7 days ago. She has papules and erythema in the abdomen, thorax and thighs. She feels a lot of itching. She denies #Ingestion with different foods, denies the use of medicines, denies contact with potential allergens. She has two dogs that sleep indoors. What is the diagnostic hypothesis? What is the treatment?

The patient presented to the ER after a history of small wound on her right calf a month ago (image 1). She was prescribed 7 days of ceftriaxone but she noticed her leg was getting worse during treatment (images 2 and 3). She decided to go back to the ER a few days after finishing treatment with IV antibiotic and image 4 is her leg on presentation today. Image 5 shows her leg after debridement.

58 years old, female. The image shows the appearance of the nail of the second finger of her right hand. A nail with altered color, brittle, dystrophic and with nail bed edema is observed. She will start treatment with Fluconazole 150 mg/week and topical cyclopyrocholamine.

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?