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Varicose Veins

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76yom with bothersome varicose veins on the right leg. On his request without anaesthesia I bound both ends of each vein transcutaneously. Plan is to leave sutures in until vein luminae fibrose - about 2 weeks. Unusual treatment for sure. But he was SO happy with the results on his left leg from an identical treatment I did 20 years before, that he travelled from another country to request the same contralateral. Medical ethics dictate that we share successful treatments with the profession.. but 20 years ago Figure1 was not. And not all of these succeed as well as this one. And he only returned now for me to witness the long term outcome.

dilated veins in lower limb #Varicose-veins

Before and after; #Sclerotherapy treatment #Spider-veins #Varicose-veins #Veins

treated with RADIOFREQUENCY ablation of draining left Greater Saphenous vein and stab phlebectomy.

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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?