Male patient, 24 years old. He says that five days ago he no | Figure 1

ReginaldoCastro

Internal Medicine

Male patient, 24 years old. He says that five days ago he noticed a nodule on his scalp. Reports that he feels pruritus and stinging on the spot. He has worked with rural services for one year. Cephalexin 500 mg (2 grams per day) and Ivermectin 6 mg (12 mg per day) were prescribed. What is the probable diagnosis?

Why you should join Figure 1

Similar cases

60 years old male. Smoker, COPD, Diabetic, whipple surgery 14 years ago because of pancreatic cancer. Tx metfhormin 1 g per day plus 6 units NPH insulin. The patient comes with a history of a deep venous thrombosis on right leg 2 weeks ago and started with warfarin 5 mg per day. Pt weight is 42 kg. He says that 2 days ago started with pain in upper back and limitation to move shoulder and left arm.

Male, 61 years old. He is hypertensive and he uses Losartan 50 mg per day. He does laboratory tests and the EKG above. Any change?

She is 38 years old, Diabetic, Hypertensive, Depressive. She uses Diazepam 60 mg per day; Amitriptyline 150 mg per day; Fenergan 150 mg per day; NPH Insulin 20 IU per day; Captopril 50 mg per day; Hydrochlorothiazide 50 mg per day. She is also an alcoholist. She has complications of Diabetes Mellitus such as Diabetic Neuropathy. Her triglycerides are at 900 mg/dL. She also uses Ciprofibrate 100 mg per day. Two weeks ago, these injuries appeared on the hands and legs. She said that the lesions are painful and that it started with itching. What is the probable diagnosis in this case?

Male patient, 83 years old. Three days ago he started to feel an itch on the distal third of his right thigh. Upon observing the region he noticed an erythema, which is increasing in diameter, and two small central pustules. The area shows a significant increase of temperature at touch. The patient has an artificial heart valve and does continuous use of Marevan 5 mg daily. Cephalexin was prescribed 2 grams per day, loratadine 20 mg per day and prednisone 40 mg per day. What is the probable diagnosis?

Trending now

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?