58 y.o. No PMH. Initially presented w/ these 1 week ago on R | Figure 1
%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)
58 y.o. No PMH. Initially presented w/ these 1 week ago on RLE- stated that they started about a week prior – start as a small red area with black dots in the middle smooth larger spot (black arrow) is now raised with many black dots in the middle and right around the edges – it feels fluid filled. Two smaller spots begin forming (blue and orange arrows). Patient returns to office today and states she popped the larger spot a few days ago- seroussanguinous fluid. Today redness expanding around each area with little bumps she states it's pruritic. Any ideas? Bug bite?
Why you should join Figure 1
- Share your knowledge with our global community of healthcare professionals
- Get help from experts in your field
- Learn from our library of real-world cases and quizzes
Similar cases
25F lesion inner aspect of upper thigh. Appeared 2 days ago, pt states she thought it was an ingrown hair as it looked like a pimple(did not attempt to pop). Today it presents with a 1.5" red ring around it. Tender to touch. Pt is a healthcare worker in a hospital. Thoughts?
Not as exciting as my last post but interesting nonetheless. 55 yo woman on chemotherapy for endometrial cancer. She was bit by a tick two weeks ago in this spot. A variation on #Erythema-migrans rash. Serology drawn today and patient to start #Doxycycline. Rash at base of right neck and upper chest wall.
#Bites-and-stings tic bite in 64yr pt, says she pulled it out with tweezers but the area around it is starting to turn red; any thoughts welcome
patient is a 28 years old female, started 4 weeks ago, have not changed for two weeks, theres a dark spot at the middle of the lesion, during the same period one has grown at the neck and the arm near the elbow. Patient is on OCP. Changes in life style include swimming in the last 4 weeks and the use of thermal baths. No systemic illnesses, and no abnormal history.
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?