diagnosis was not made when this 8 year old girl was taken t | Figure 1

Case Description

diagnosis was not made when this 8 year old girl was taken to the primary care clinic. She doesn't suffer from anything and only concern was her eyes. She just woke up like this one day before being checked. Any ideas?

Similar cases

14 years old female complains of pain her big toe. She doesn’t have any medical problems except for atopic dermatitis and eczema which she uses steroids on her arm for. She doesn’t have hypertension nor diabetes. Her labs are attached above. She doesnt have a history off previous operations or surgeries.

8 month old presents to ED with increased drooling, cough, and decreased PO intake. Mother stated she was sweeping the floor today and the child became choked. She believes she child picked something up from the floor and put it in her mouth. Christmas ornament discovered on xray.

Female, 17 years old. She, two months ago, is having an enlarged abdomen that is accompanied by elimination of colostrum. The patient did the Beta-HCG with negative result. She has a history of drug use (crack and cocaine). She is the mother of two other children who were for adoption because at the time she was still using drugs. What do you think of this case?

16 Year old female presents to ED with 24 hours of monitored heart rate above 130. The lowest it dropped was 64 and it came back up. She said she started feeling "flutters" earlier this year in her heart. ECG came back normal as did her chest xray. Shes been referred to a Cardiologist at a bigger hospital. She mentioned being irritable and hotter lately. She also mentioned getting dizzy and short of breath from simply walking from room to room. Any other possible diagnoses? Her labs came back clean apart from a cholesterol level of 184.

Additional Cases

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?