There are polio outbreaks in countries in Southeast Asia inc | Figure 1

CDCtravel

Centers for Disease Control and Prevention

There are polio outbreaks in countries in Southeast Asia including the Philippines, Burma (Myanmar), and Indonesia, and in continental Africa including Ghana, Angola, Central African Republic, Nigeria, Mozambique, and more. See CDC’s Travel Notices for more information.

Level 2 Travel Notice - Polio in Southeast Asia and Africa

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Case answer from last week with extra photo. .do you change your answer? This was an 1.5 year old diagnosed with the new strain of Coxsackie, with the eczema coxsackium variation. This was not eczema herpeticum as most of you guessed. The Palmar and plantar involvement was the big clue and the lack of classic punched out appearance and more papular appearance. We have seen many of these and so it was more easy for us to recognize but eczema herpeticum would be on your ddx. Patient improved with moisturization only and eczema care taught at follow up.](https://app.figure1.com/case-detail/229eecd2-2819-4a42-bb11-f37b6c37dd83)



Image from an upper GI examination in a neonate with a history of recurrent pneumonia shows the right lower lobe bronchus arising from the esophagus. An esophageal bronchus is an incredibly rare congenital bronchopulmonary foregut malformation. Esophageal bronchi are more common on the right side and occur more frequently in girls. They are associated with other anomalies including duodenal atresia, distal tracheoesophageal fistula, esophageal atresia, and congenital heart disease.](https://app.figure1.com/case-detail/238e9728-b6a8-4917-8e72-1610e05dc0f6)



10 year old boy presented with sudden appearance of these lesions on palms and soles. What will be your differential diagnosis in this case. Denies having fever or generalized fatigue.](https://app.figure1.com/case-detail/31114079-448d-4359-8c9b-5c2f59236843)



Day 13 of rash on 3 yr old. Skin appears very wrinkled and peeling. Ped stated only dermatitis but I disagree. Child states hands are no longer itchy but feet are. Not the typical HFM appearance but what do you think? Attached on the bottom is my original post.](https://app.figure1.com/case-detail/465df65c-b99b-41f9-84eb-61e8a3fdb35a)

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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.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



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.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



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.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



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?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)