what's your diagnosis? | Figure 1

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what's your diagnosis?

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28 yof, painful aphthous ulcers x 3 days. Works with children. Associates s/s: fever, sore throat. Has been using orajel topically with minimal relief. I'm thinking #Coxsackievirus-infection.


diabetic foot


A patient in his thirties presented complaining of the lesion showed above; it started as a very painful papule which evolved over one day into pustule which ulcerated later. The lesion is now 4 days old. He consulted a pharmacist and was prescribed amoxicillin_clav 1gr bid; the lesion was not improved. I suspect MRSA; amoxicillin_clav was stopped and doxycycline was prescribed. The patient has no other medical condition and no symptom of pyoderma gangrenosum associated diseases. What concerns me is that the lesion was very painful. What do you think about dx and tx?


Pressure sore to right hip, white center slough? Have few people that think it's granulation tissue; current tx is zinc.


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.


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?