follow on photos and update from previous post. The patient | Figure 1

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follow on photos and update from previous post. The patient did very well overnight and showed no further signs post #antivenin Turns out it was a #tiger-snake in the end, a family member brought in the specimen for confirmation. The pt reports the “pressure pain” at the bite site has reduced but as you can see from the photos, the wound is still concerning and some areas have become more reddened, with reduced sensation at the bite site.

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Bug bites leading to blistering around the site. So this is the second patient to come in with bites like these; the first patient we treated with hydrocortisone. The blisters continued to swell quite a bit, any ideas on what this is and tx? We are thinking chiggers and we are located in the woods of Indiana. Photo 3 is a site that blistered up then popped.

this came into my pharmacy recently, first photo is 8 hours after initial bite, suspected spider bite, treated with anti-itch cream and cortisone ointment. Second photo is 2 days after initial bite, bout the size of a bottle cap. Bite occurred in longish grass in a residential area. Lesion is intensely itchy and warm to touch. What do we think this is

35 yr old male presents to ER stating he thinks he might have been bitten by brown recluse spider. Pictures show bite site with blister on right inner thigh. Patient states he has 3 other bites on knee and upon examination those 3 bites are small, red and no blistering. Patient only has pain at inner thigh bite site. Is this brown recluse or maybe just dermatitis from unknown insect bite? Opinions?

Female who went for a trail run a week ago and found this on her leg couple days ago. No itching, minimum pain, but firm to touch. Doesn't recall any tick exposure. Lives in a condo in a suburb. First photo is from day 2, second photo from day 4. Dx?? #dermatology #Bites-and-stings

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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?