6 yo girl with a congenital deformity of left arm, the only | Figure 1

6 yo girl with a congenital deformity of left arm, the only case of hand-foot-mouth-stump disease I have ever seen. #Hand-foot-and-mouth-disease #Coxsackievirus-infection


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Young boy with fever vesicles in throat and lesion on foot. diff hand foot mouth, lesion on foot seems atypical](https://app.figure1.com/case-detail/14c7ad5c-3057-4c76-aece-50b3745bc783)



sometimes the skin findings in #Hand-foot-and-mouth-disease are subtle.](https://app.figure1.com/case-detail/2f3451f3-c29d-46e1-a81c-1a862166a332)



5 yo w fever and rash to hands, feet, buttocks, and a few on his knees. Spots tender. Diagnosis? Roof of mouth is a tell-tale sign of this virus.](https://app.figure1.com/case-detail/3f7b44c2-d5e7-4aae-b865-49a1bb2bbbdc)



30 years old male came to family medicine consult to follow up about hand-foot-mouth disease ending almost 4 months ago, pt said that his daughter who also had hand-foot-mouth disease has this nail lesions too. No pain, or any other relevant findings, only dying nails from nail bed on both hands. Any diagnosis? Or how we should proceed?](https://app.figure1.com/case-detail/4061d0c5-1a98-4586-985a-cca9d7df6b24)

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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)