Large anal #Condyloma-acuminatum

from a 52 year old. More commonly known as anal warts, these are caused by #Human-papillomavirus-(HPV)-infection. If not removed surgically, they can and will grow/multiply. Additionally, there is an increased risk of #Squamous-cell-carcinoma associated with these lesions, so surgical removal is highly recommended.

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EMS is called to a 65yoM for a complaint of generalized Abdo pain. He reported that the can slipped in during a sexual session with his partner and he has been unable to remove it in the last 18 hours. He's able to walk with ease and says the pain is very manageable. No other signs or symptoms. Taken to a secondary hospital for surgical assessment where it was removed under GA.](https://app.figure1.com/case-detail/24d0705c-948d-456c-98cf-37d1ca398bee)

23yo male presents with bumps around the rectum area after an unprotected anal sex. This presents a few days after encounter. The second pic shows that it progressively gets worse in a few days. He confirmed his sexual partner reports a clean bill of health and has no lesions whatsoever.](https://app.figure1.com/case-detail/2b47e674-bd92-4d36-b742-28a582a0dc14)

64 yo male presented to ER with pruritic area of discomfort for the last 3-4 days. Noticed scant bleeding from same. Hx of pruritis ani. No recent sexual contacts, no anal trauma. Non history of pilonidal disease. Colonoscopy 2-3 years ago, normal. Non smoker, nil ETOH. Otherwise healthy, no notable surgical hx.](https://app.figure1.com/case-detail/34d29901-b716-49eb-8edb-3af4a6135fb2)

anal warts](https://app.figure1.com/case-detail/56b46fb7-379a-4679-b16a-09953b5bdd05)

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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)