39 y old female. pericad effusion. Bresth neoplasia | Figure 1

39 y old female. pericad effusion. Bresth neoplasia

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Female 19yo, with #SLE, T1DM and #Celiac-sprue. Comes with a story of "SLE exacerbation". Admitted and treated with #Corticosteroids, with good response. Let's think in DDx? :)

Patients mother arrives at the pharmacy for a consult on what could possibly be creating this rash. The patient has seen a dermatologist in which is on Triamcinone 0.1% cream and also was on Methotrexate 2.5mg for possibe psoriasis. Any other idea? Detergents have been a big factor for these types of rashes that could go unaddressed. Can anyone confirm?

End-systole parasternal short axis view of healthy male heart taken with handheld ultrasound. Same patient as previous US image.

Young pt with EF 10-15% apical #ventricular mobile Thrombus seen in #ECHO with multiple embolic #strokes on MRI For video go to my twitter account @davidacnp

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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?