ReginaldoCastro

Internal Medicine

64 years old, female. There are many cases like this in the doctor's office. She said she was putting coffee powder to heal. A case of nail fungus. What is the best way to treat it?

Similar cases

this is a follow up from a previous case. Most recent pic of her right second toe. She is getting that nail biopsied on Monday. Any of you see any changes?

#Onychogryphosis and #Onychomycosis in a 90+ case of neglect.

16 year-old male patient presented to me with discoloration on his fingernails. He had no other pertinent medical history or medications of relevance. He had no pain associated with his nails and related no history of trauma. A previous physician diagnosed him with onychomycosis and prescribed terbinafin tab. She had been using that product for over a months. He noticed no improvement. Terry's nail??

54 female with blue fingers and tender on touching and with cardiomegaly and cirrhosis with htn, her doc says she has a poor circulation in her extremities ... what’s your opinion?

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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?