Athlete Underarm

Started 1 week ago. 18 year old high school female volleyball middle blocker. No change in deodorant or antidepressants in recent. Very itchy. No lesion or bumps. Thinking contact derm or fungal.

Cases

Case 1

Description: Pruritic patches started on BLE about a year ago after this 60 yom CABG. Worsened and spread BUE flexor and extensor surfaces, trunk, scrotum. Not responding to topical steroids, IM steroid or immune modulating medications. No labs done yet. Trying topical antifungal now...next steps if dead end?
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Case 2

Description: A 27 yo married girl came to my pharmacy. After marriage, squama & patches started to appear as shown in old pic 1,2&3. It felt itchy at that time. This patch on her shoulder keeps appearing even after it falls, and the new pic shows that this squama appears again on her upper thigh. She applied fucidic acid with corticosteroids and took itraconazole, fluconazole caps, topical antifungal and whitening cream with no effect.
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Case 3

Description: 21 year old male presenting with a slow growing non-tender mobile fluctuant lump on zygoma. Excised Dermoid cyst.
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Case 4

Description: 40 something female with rash starting on left leg, do #Pityriasis-rosea by PMD and put on prednisone and topical steroid. The rash worsened and spread throughout. No significant past medical history. Labs reported normal. Ideas, do, RX options?
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Case 5

Description: 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.
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Case 6

Description: 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.
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Case 7

Description: 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.
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Case 8

Description: 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?
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