Interesting case highlighting several retinal conditions in | Figure 1

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Interesting case highlighting several retinal conditions in the same patient. 70YOWM complains of vision loss and distortion OS over the past 3 months. History of stenotic carotid arteries with associated ocular ischemic event OD in the past (Hollenhorst plaque). H/o dry AMD. Suspect pigment epithelial detachment OS or early wet AMD. Sent pt. to retinal specialist for further evaluation. IVFA scheduled. Other differential may be vitelliform presentation based on discussion with retina specialist.

After an extensive work-up following a presentation for acute large bilateral pre-retinal hemorrhages and early vitreous hemorrhaging that was initially attributed to valsalva, this 58YOWF was diagnosed with leukemia. Retinal hemorrhages OD have completely resolved, but a large vitreous hemorrhage is now obscuring vision and posterior retinal views OS. The patient was given the option by her retinal specialist to have a pars-plana vitrectomy (PPV) to clear out the heme. Unknown VA potential after PPV exists since no macular views are obtainable. Pt is considering option with oncologist currently.

Other Images

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?