no fever, only pain. | Figure 1

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No fever, only pain.

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24 year old male presents to pharmacy after being seen at an urgent care. Sore throat/purulent tonsils for 6 days, no fever until day 6 but mild at 99.6. No other past medical history besides obesity, although patient has had similar looking tonsils on 2 other occasions this year, one resolved with antibiotics and one with no treatment. All vital signs normal besides temperature. Patient was diagnosed with strep throat (although rapid strep test came back negative) and a “re-activation of mono” according to urgent care (patient first had mono 6 years ago). Prescribed Augmentin 875mg twice daily for 10 days. Patient wants my thoughts given the negative strep as he tries to avoid antibiotics when possible. I question the diagnosis but also am concerned about the uvula deviation. Thoughts?](https://app.figure1.com/case-detail/34a3131b-9e11-4aca-baef-6fe5d6350a46)

Sun blister](https://app.figure1.com/case-detail/608fa1c9-9f6c-4390-9588-b79d52d3d833)

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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)

no fever, only pain. | Figure 1

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