Coproporphyrinogen

Radiology Resident

Late 20s male Pt was "fixing his car and his hand slipped". Ulnar gutter and a trip to ortho for this gentleman.

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Mid 40's male. Had his hand between two large metal containers. They shifted and smashed his finger. He yanked his hand back, pulling the tip of his finger off. PT denied pain management enroute to the trauma center.

1st Metacarpal shortening. Patient was cleaning his Springfield, and forgot to unload the pistol. 9mm through his hand. Films in plaster, post reduction/washout. Had to have an ORIF in the end.

30yom refers a fall while playing basketball 4 weeks ago, now consulting for pain in his hand. What do u see?

4yo had lawn mover run over his hand

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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?