A 32-year-old man with primary marrow failure is being prepa | Figure 1

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A 32-year-old man with primary marrow failure is being prepared for bone marrow transplant. The operation is successful, but 2 to 3 days after the procedure, the patient complains of severe diarrhea, which contains a significant amount of blood and mucus. The attending intern notices some yellowing of the skin and orders liver function tests. Serum bilirubin is elevated, and all the liver enzymes are above the normal levels. The patient also develops erythematous macules that are beginning to turn necrotic. What is the most likely reason for this patient’s current medical condition?

A. Acute graft-versus-host disease (GVHD)

B. Chronic GVHD

C. Hyperacute marrow rejection

D. Acute transplant rejection

E. Chronic graft rejection

pt had skin cancer removed from lower leg and skin graft (from thigh) to wound. Staples removed 5 days ago. I had this photo sent via text with patient wondering what he should put on wound (he did not feel as though anything was wrong with graft).
What do people think? Graft rejection? Does wound need debriding?

Skin GVHD in a patient day +16 after allogeneic matched unrelated transplant.

GVHD vs SJS in a bone marrow transplant patient. Receiving steroids, photopheresis.

In India, 80% of acute liver failure is viral (mostly HBV or HEV) while in the west, only 20% are viral. In image 1, the diseased liver is exposed. In image 2, the healthy liver has been prepared. In image 3, the donor liver is re-perfused. Here at Apollo Chennai, over 400 liver transplants have been performed. #apollohospitals

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?