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Raynaud's phenomenon

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#Raynauds-phenomenon

51 year old female with history of well-controlled hypertension with new onset rash/skin changes. Denies pruritis or pain but states that her legs feel “heavy” with trace pitting edema to BLE. She has no history of vascular issues or known autoimmune disorders. The rash does not blanch with pressure. She walks long distances at her job, but no other changes to anything in her daily life. No history of fever, illness, OTC or new prescription meds.

No skin lesions. No family history of psoriasis!

Same patient with Raynaud's, comparing the two hands

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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?