Secondary syphilis in untreated HIV(+) patient.

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Male patient presented to the Pharmacy two weeks ago with persistent itching due to human scabies infection, I placed him on ivermectin 300ug/kg start, loratidine 10mg OD and benzyl benzoate topical application. He returned yesterday with complaint of slight itching in the private parts. Although the scabies rash were gone, on examination I saw this. Also, I noticed a swollen lymph node in the pubic area. I suspected syphilis , I placed him on Cefuroxime 500bd 5/7 and the VitC 1000mg OD. Any helpful suggestions?

rpr and tpha positive. HIV negative. Sharing is caring! #lovederm

Progressive dementia: + serum and CSF RPR. The "great imitator" strikes again!

22 yo. 15 days With this rash. No Other symptoms. Dx?

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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?