suggestions on further management? Dx? | Figure 1

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Anesthesiology Resident

62/f presented with hypoglycemia

RBS was 29 was immediately given Dextrose

no sensory reflexes, no response to external stimuli

no movement

pupils b/l dilated and fixed

K/c/o COPD

heavy smoker

was completely unconscious 2 days ago hence we put her on ventilator and regular iv fluids

the case came to me as a neuro issue on running the MRI with contrast, the scans and reports were normal except cerebral atrophy.

pt. was injected with 150 mg Prednisone, and is now conscious and sensory reflexes are back however still a little drowsy and slow in response as seen in video.

I am tapering down Prednisone everyday until 5 days (already sitting on 3rd day)

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Poison oak? Treated with prednisone and cortisone cream for 7 days and this is the result. Any suggestions?

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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?