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Pt in hospital (for CHF exacerbation) lost his job a while back and spent 23 hours a day in bed due to depression. Attending MD refused to consult podiatry. Poor guy.

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6 yo male presents with bubbling at base of nails and then slow peeling off of nails for 3 days. Mother states she notice minimal symptoms for the past 1 month after patient had "chicken pox" 1 month ago but not as severe until last 3 days. Upon further clarification, patient had rash on only his foot/hand/mouth so most likely patient had hand, foot, mouth disease and not chicken pox. No current fevers/chills/vomiting or other constitutional symptoms.

37 yo Male with history of depression anxiety attended hospital in acute confusion and blistering skin reaction over palms and torso, unable to give coherent story or explanation for injuries. Dermatology paged for advice on investigations, what differentials would you consider?

Psoriasis. Note the halo of erythema around the lesions denoting active inflammation.

This nail is on a well 40y/o only affecting this one phalange on the one hand. It commenced with one ridge at the cuticle and more and more grew out with time. This occurred around a year ago. Clinically there are palpable ridges running transverse. There are small pits along the ridges with a white base. Ideas?

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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?