came to ED due to fever and dizziness, what is your diagnosi | Figure 1

came to ED due to fever and dizziness, what is your diagnosis?

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COCOPD patient with right upper lobe infiltrations.clinical symptoms suggestive of pulmonary TB.accordingly his sputum smear for AFB is positive..](https://app.figure1.com/case-detail/061ddc3d-49c4-4ac1-97d1-0aab7a8bc3d5)


I will connect more labs as soon as possible. Elderly man with chronic obstructive pulmonary disease (COPD) who came to me angry that he had hospital-acquired pneumonia on a recent hospitalization. Pics 1&3 are on the day I saw him, pics 2&4 the week prior. Chest x-ray interpretation obtained hours after his discharge from the office. I sent him home on Omnicef 300 mg a day, which he'd been on upon discharge from hospital. Said after it ran out, he got worse. CBC also obtained hours later. See other labs soon, I hope....](https://app.figure1.com/case-detail/163b1141-6103-4145-94f1-0a4592af04dd)


(Case update): Chest x-ray analysis: Male, 64 years of age. He smoked... Answer: The main finding of radiography is pulmonary hyperinflation (consistent with history and lung disease. Third image: spirometry confirming COPD.](https://app.figure1.com/case-detail/17c23e1f-76f0-4678-ac30-7c5a6a9630a0)

A recent forecast estimates that the global cumulative economic burden of chronic obstructive pulmonary disease (COPD) will exceed $24 trillion in direct medical costs by 2050. Modeling that accounted for key risk factors projected annual direct costs to rise from $778.7 billion in 2025 to $862.4 billion in 2050, with greater increases among male patients. When indirect costs related to work disruption were included, the total global economic burden was projected to approach $40 trillion, with low- and middle-income regions contributing most to this growth. Discuss with your colleagues below.](https://app.figure1.com/cdn-cgi/image/format=auto,quality=85,width=168,height=168,fit=cover,gravity=auto/https://figure1-pro-prod.imgix.net/cases/images/37fb317089ec8edcb08d6d0f816c6f6ab400e7b56210feeea03e6546dcaec4fe.png)](https://app.figure1.com/case-detail/4f00ca65-f84d-4d91-97e9-6777d4d1d731)

New From Docwire News: A recent forecast estimates that the global cumulative economic burden of chronic obstructive pulmonary disease (COPD) will exceed $24 trillion in direct medical costs by 2050. Modeling that accounted for key risk factors projected annual direct costs to rise from $778.7 billion in 2025 to $862.4 billion in 2050, with greater increases among male patients. When indirect costs related to work disruption were included, the total global economic burden was projected to approach $40 trillion, with low- and middle-income regions contributing most to this growth. Discuss with your colleagues below.

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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)