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45 years old female present with this ulcer under her foot for few days.

• she claims it's not traumatic
• she is not diabetic
• not pregnant
• no vascular complaints
• no chronic use of any drug
• no known allergy

what is ddx? ???
do i need investigation ???

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38 years old, female. The patient has Diabetes Mellitus, Hypertension, and hypertriglyceridemia (879 mg/dL). She sought medical care complaining of blister formation on the plantar region of her feet, which has been progressing with pain. On examination, callus formation and reduced sensation in the lower limbs are observed. The patient uses Metformin 850 mg three times a day and NPH insulin 20 IU in the morning. We suspect that the patient is not adequately adhering to the treatment.
What can be done to prevent further alterations in her lower limbs?

56 y/o F PMH well controlled DMII, otherwise fairly healthy. No Hx of diabetic foot ulcers or open wounds of any kind. Pt stated she felt unwell, sees PCP, labs normal, few days later passes out at home husband calls ambulance. In ED labs still initially normal however quickly progress to abnormal. I don't have all the numbers at hand but WBC 30+, lactic acid 3.1, she becomes hypotensive and quickly exhibits septic shock. I am consulted after she has been stabilized approx 1 month later. Long story short: she developed #necrotizingfasciitis on the left leg (source still unknown to his day) and after multiple fasciotomies to try to save the leg she unfortunately went on to an AKA on the left. She was on #pressors for a prolonged period of time in the ICU that ultimately resulted in dry gangrene of the toes on the right foot and areas of ulceration on the lower leg. I was consulted for this. I waited for #demarcation of the toes and instead of doing a transmetatarsal amputation I opted to save as much of the foot as I could given that she had undergone an AKA on the left. I will connect to the post ops... #podiatricsurgery

This is a case of a 38-year-old diabetic patient with poor glycemic control. She is being treated, with bandages, for callosity in the lower area of the first toe of the left foot. Three days ago she noticed edema in the aforementioned toe and intense pain. Do you have any idea about this?

Case for discussion: Female, 67 years old. Fifteen days ago, she had an ulcerated lesion on his left back feet after rupturing a bubble with citrus fluid. She is hypertensive and diabetic and she has a lot of pain at the wound site. What do you think about this case?

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?