14 yr old girl, non-itchy rash on cheeks and forehead. Hx of | Figure 1

14 yr old girl, non-itchy rash on cheeks and forehead. Hx of acne, used Clindamycin benzoyl peroxide gel prior to rash. Also hx of using oil based make up (foundation). No improvement with using Pimecrolimus. Possible diagnosis? Treatment options?

24 M overnight onset of these unilateral facial skin lesions (rest of the skin is clear). Described rash-like appearance at time of onset (currently 1 day after onset). Pt denied allergen contact. No new products/detergents/food. Applied hydrocortisone topically for 1d w/ some reduction in inflammation. Reported minimal itching. Minimal hx of acne, no hx or any other skin conditions. Typical acne or something else?

68 y/o male with cc of rash on the medial right leg x 3 weeks. Started at about the size of a quarter and has grown since then. Reports itchiness, and mild pain and “scabby round ring” on the site for the first couple of days. The ring is no longer present upon physical assessment. Pt states he attempted to use peroxide and neosporin but it had grown to the size as you see it now. No major medical hx that we know of aside from hernia surgery x 1 year ago.

27 y/o woman woke up with rash/acne. Used new makeup x 2-3 days. Large two with some pain, other flatter red ones itchy. what would you advise?

A 25 years old female with acne for one year. With the next treatment: epiduo gel+doxicicline for 3 months without results. With a break lasting 5 month, the acne increased in severity during this break. For the last four months the patient started intensely cleansing the face very well and is avoiding touching the face while using Effaclar duo (a cream with salicylic acid and anti-inflammatory substance). For the last 3 month she used tretinoin 0.05% laboratory prepared. That has been a little improvement on the cheeks, but not on the forehead. Please write if you have any other suggestion. Thanks!

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 ECG that would warrant further work-up or is this just a pediatric ECG?