This is an update to a current case | Figure 1

This is an update to a current case

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Has anyone ever seen these spots with Myeloma? I am a home health RN and these have appeared on my client with Myeloma and I don't have any experience with this. Any help would be appreciated.


28 yo male, 4 day hx of rash starting as papules that coalesced over the next day. No rash anywhere else. Systemically well, not taking any medications. Self treated with 3 days of 1% hydrocortisone with no improvement. What is the diagnosis?


Left lateral thigh, no itching, stinging or burning. Patient was initially unaware of the area until notice by spouse. The area is mildly raised upon examination. It does blanch. It was not there 3 days ago.


24 y/o female c/o vaginal discharge and "possible exposure to STD." States she was previously tested in ED 1 week ago for vaginal itching and discharge and called to advise results were abnormal and to F/U with PCP but does not know results. States that incidentally has had rash for the past month that started on feet and has spread to legs, and is now starting to notice rash on back and proximal arms. Denies F/C, or any recent illness. Rash is not pruritic. Small red papules noted on BLE, proximal BUE, and lower back. Each papule has surrounding white halo approx 1cm. No palms or soles involvement. Any suggestions as to what rash could be?

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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.


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?