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Case Details

35yo male pt presenting itchy rash with slight burning on upper left buttocks. Started 3 days ago and looked like a bite of some sort. Spider bite? Center is turning black. Started on cephalexin and gave hydrocortisone valerate along with clobetasol.

33 male non diabetic systemically well. Started as an itchy papule. Clear exudate. Spreading. Satellite lesions. ? Bite

41yo F c/o 5 day old acute onset localised painful blanching Papular rash lower right back, now looking vesicular. No response to topical hydrocortisone applied at home. No itching/involvement elsewhere, no hx fever/malaise/insect bites/exposure to new lotions etc - generally well. Ddx & tx?

patient presented to pharmacy with bug bites on the back of the thigh that have been getting worse over the last 3 weeks. Patient states that the itching is worse at night and it is "impossible" not to scratch; but that the scratching then produces the hives seen in the photos. Has been treating with 1% hydrocortisone cream with little relief.... the bites look like mosquito bites (just a bump with no other defining features) but the patient doesn't have any of the bites anywhere else on the body. I'm wondering if it could be a more nuisance pest like fleas or scabies due to the intensity and duration of the itching? ... Thoughts or follow up recommendations? Thanks!

Back of thigh, onset while outside, but had pants on. First appeared be a bunch of bites. Very itchy. 24 hours after initial onset. Any ideas?

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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?