Male, 18 years old. He came to the emergency service and rep | Figure 1

ReginaldoCastro

Internal Medicine

Patient Details

Male, 18 years old. He came to the emergency service and reported pain on the first and third fingers of his left hand. The nails have the alterations shown in the image above. What is your diagnosis and treatment?

Similar Cases

• \ Yeast in positive blood culture after 48hrs incubation. hb 72 wbc 46.2 neu 40.7. patient in intensive care, started on caspofungin. no known source. Apologies for limited PMH, being lab staff we don't get extensive notes.

• \ medial aspect of Let thigh presented by severe itching..diagnosis & ttt?

• \ 30-year-old patient presented for 2 weeks skin candidiasis badly treated with topical corticosteroids and calamine lotion poorly diagnosed as a heat rash, revalued and treated with oral itraconazole and ketoconazole in topical cream for 2 weeks, here shows improvement.

• \ 2yo female who presents to primary care consult due to lesions presented in the photos. It is the third time in the year that she presents such lesions. Mother states she hasn’t had noticed them. Patient constantly scratches her tongue, Otherwise asymptomatic.

• \ 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.

• \ 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.

• \ 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.

• \ 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?