74y female #Diabetes-mellitus (with no treatment because a f | Figure 1

kareniriskofler

Neurology

74y female #Diabetes-mellitus (with no treatment because a friend told her she will get blind if she takes the meds). She comes to the consult because of #Headache. CT was normal. Refers having pain in her legs. #pulses were weak.

Case Summaries

53 Years old female with normal BMI is recently diagnosed with Type 2 DM. Her HbA1c was found to be 11%. She was advised on dietary modifications, daily exercise and was prescribed Metformin 250mg BD. Also, she was urged to maintain fasting and random glucose chart. Her glucose levels after one month were: 150-200mg/dl fasting and 200-250mg/dl random on average. I have increased her metformin dose to 500mg BD. Today she presented with complaints of paresthesia at night time between 9PM to 11PM. She doesn’t have any other symptoms (polyphagia, polydipsia, polyuria or GI imbalance); moreover, her BP and pulse were normal. It’s worth noting that she recently started her menopause.

A female patient has these two lesions on her one leg. She has had them for +/- 1 year. No significant medical history. She is asthmatic and she is not diabetic. She says she scratches the lesions and they open up and bleed.

78 years old, female. She is diabetic and hypertensive with good control. She has had pain in her left leg for 5 days. On physical examination, there is erythema and increased skin temperature at the site. What is the diagnosis in 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 has 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?