40m noticed burning and itching. Has had over a week. Dx | Figure 1

40m noticed burning and itching. Has had over a week. Dx shingles.

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Gets recurrent cold sores. This one began 10 days ago, getting worse. She has been applying alcohol and Eucerin. Was given acyclovir but only at the prophylaxis dose and started that just 1 day ago. How would you advise or change management?](https://app.figure1.com/case-detail/04211a6c-0386-45a3-90c3-faa3256424b6)


Two patients with the same problem in my office!](https://app.figure1.com/case-detail/1ba4771f-0c24-4694-99a6-c4946ab0f285)


Pic 1. This was the rash two days before pic 2. Just the vesicle and flat lesion. Any ideas?](https://app.figure1.com/case-detail/2551784f-367b-4b56-9dd5-6865255a7e67)


Young patient complaining of shooting pain in the ear and redness on temple. There’s a cold sore affected half of the lower lip on the same side. What’s the most likely diagnosis and the best treatment. The symptoms started 3 days before presentation. No significant comorbidities.](https://app.figure1.com/case-detail/279a4742-dad4-49b6-aab2-7287c5fd9477)

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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)