22-year-old female with hx of rwith 4 month Hx of pruritic | Figure 1

Case 1

22-year-old female with hx of r with 4 month Hx of pruritic vesicular lesions on the dorsal of her hands as well as new lesions just lateral to her left eye. She also has a large vesicular lesion on the back of her left foot. She denies any additional constitutional symptoms and no problems with bowels. She has no new soaps or shampoos or lotions.

Case 2

24 female patient with hx of keratoconus and cross linking were performed bilaterally 2 years ago. 2 months ago she discovered that she has RD in the left eye so viterctomy with silicon oil injection was done instead of buckle as she has thrombocytopenia. 1 month later she is developing cataract in her left eye. can she be treated with corticosteroids for her iTP. Also, she is considering doing laser in her right eye as she has retinal weakness isn't this gonna be a problem with her plt 70,000. any suggestions ?!!

Case 3

36 year old female presented with new onset of lesions to dorsal aspect of right hand and a few more identical lesions to left arm (not pictured). Largely asymptomatic - no itching, no current pain but did report some mild discomfort when the spot first appeared. She denies any new lotions, soaps, skin products, pets, or other new exposures. Take no medication. Her medical history is benign/negative. She has not noticed similar lesions in the past. Family history is benign. Concomitant diagnosis of strep + pharyngitis at this office visit. What is your diagnosis?

Case 4

What do you think this is? She's a 9 year old girl. One week ago the first lesion appeared on her superior left eyelid and in a few days it extended to her nose. About four days ago the second lesion appeared on the left zygomatic area. Her mother has applied an ointment on the area, probably Clotrimazole, but she doesn't remember. The patient said that it itches but it doesn't hurt.

Case 5

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.

Case 6

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.

Case 7

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.

Case 8

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?