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Dislocation of the 3rd digit due to sports injury.

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this the season for fireworks injuries.](https://app.figure1.com/case-detail/46f36ba9-a65a-418b-b6fe-c6a348b19d38)

A 30-year-old female sausage store worker came to the emergency department with a wide U-flap cut (4 cm in length) and a less severe straight cut (less than 1 cm in length) on the third and fourth fingers; the most severe lesion was located above the metacarpophalangeal joint of the third finger on the right hand. The patient was conscious, pale, hypotensive, diaphoretic and in great pain. The injury required 3 simple sutures (prophylactic ABx and pain medication. What indications would you recommend for wound care, any comments or thoughts?
Mujer de 30 años, trabajadora de una tienda de embutidos, acude a Urgencias con un corte en forma de colgajo ancho en "U" (4 cm de longitud) y otro recto menos grave (menos de 1 cm de longitud) en los dedos tercero y cuarto; la lesión más grave se localiza por encima de la articulación metacarpofalángica del miembro superior derecho. La paciente estaba consciente, palida, hipotensa, diaforética y tenía mucho dolor. La lesión requirió 3 suturas simples (ABx profiláctico y medicación para el dolor. ¿Que indicaciónes recomendarías para el cuidado de la herida?, ¿algún comentario o pensamiento?](https://app.figure1.com/case-detail/5f21dc2a-9b89-41ec-883b-6be6bfbc8b0d)

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.
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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)

70 yo WF with 20y hx HTN lost 21 lbs on a semaglutide but still BMI over 30, shows drop in BP when standing, stabilizing at 102-116 systolic, 65-75 diastolic. Discontinued all HTN meds x 30 days and no episodes of HTN. Could a small weight loss like this cause a drop to normal BP? Has anyone heard of a side effect of lowering BP?](https://app.figure1.com/case-detail/636fd008-29e2-47f4-8ba4-fbee9d527051)