Case Overview

70 Y/O M with Hx of smoking 30+ years, HTN tx w/ Lisinopril, type 2 DM p/w 3 wk Hx of #Pruritus erythemic rash starting in the groin and speeding to arms and hands. Biopsy taken. Recent labs show high eos, Monos and normocytic anemia. New 2 day cough and sinus congestion. Thoughts and other associated dx to look for? Will give biopsy results tomorrow.

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4yo f w/ whelps all over body, temp 101 prescribed #Antihistamines and sent home returns w/ more hives w/ unknown cause. Hx of #Febrile-seizures

shared some time ago and asked for help with diagnosis. Lupus, coeliac and suggested biopsy. Biopsy shows Erythema annulare centrifugum.

8 yr old F. 2 week hx of progressing rash on legs. trial of topical antifungal + steroid x 1 week w/ no improvement (in fact worsening of rash). +pruritic. otherwise healthy.

88 yo female w rash × 1 day. no pain, itching or burning. no new meds. no hx a fib. vvs afebrile. rash mildly tender on exam, a few small palpable nodules. thoughts? coags cbc cmp wnl. venous doppler wnl. derm suggest skin biopsy

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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?