snelj23

Family Medicine

Hemangioma

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38 year old female presents with pruritic "mushroom" like lesions over limbs, chest and buttocks. She complains of generalized fatigue and hardening of palms. Clinical exam shows swollen inguinal lymph nodes, mildly painful, hard and mobile. Skin biopsy confirms the dx of #mycosisfungoides. A dermatological variant of T cell Lymphoma. HTLV and HIV tests are negative. Lymph node biopsy and Bone Marrow are still pending. An uncommon diagnosis. Any knowledge shared would be appreciated.

56Yom, farmer, comes to the #plastic #surgery service complaining of a #wound that doesn't close for eight (!) years. He used to work under the Sun without sunblock and smokes (30 year-pack). He used "natural ointments" believing that it would heal, and even used Tetracicline (!!!) without prescription. When it started to "eat the flesh", he came to our primary care service, being referred with a biopsy (basocellular skin cancer). Sized 7x5cm and 1.5-2cm depth, without blood or pain. We scheuled surgical resection for next week.

Melanoma, right thigh.](/content/case-detail/5dff1fcf-19de-47ca-b64a-c7c570c99980/index.html)

6 yrs old boy presented with this itchy rash in his lower limbs only not preceded by fever or sore-throat , he is on antiepileptics for petit mal epilepsy , what it is the provisional diaganose for this rash ?

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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?