57 y/o with gradual onset left sided hearing loss and unstea | Figure 1

57 y/o with gradual onset left sided hearing loss and unsteadiness

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Patient reported sudden unilateral hearing loss overnight. This cerumen blockage was removed in one piece. Shown next to size 13 hearing aid battery for perspective.](https://app.figure1.com/case-detail/016c8d86-881a-4dd6-b66a-ad718dcd0611)



Resident, 82 F. Recently moved to my memory care unit from ALF community. Complained she felt something "tickling her hearing aid". This was dangling outside of her ear canal, almost completely solid. No wonder she couldn't hear us!](https://app.figure1.com/case-detail/01e4f0c2-3851-44cd-9ce8-8a7a4a4d1ac4)



Pulled out of a 28 y/o females ear after she stated she felt it vibrating and then lost her hearing in that ear until we removed this cockroach!](https://app.figure1.com/case-detail/5342db31-6f34-4caf-a9fa-e48c126a34b7)



A 60yr old male patient sees me for bilateral hearing loss for 1 month. I decide to do Rinne and Weber test. The left and right ears both show negative Rinne test. For Weber test, the sound lateralises to the left ear. Which of the following most accurately describes the situation ?
A. Both the left and right ears have conductive hearing loss, but the right ear has greater loss
B. The left ear has conductive hearing loss, and the right ear has sensorineural hearing loss
C. The left ear has combined conductive and sensorineural hearing loss , and the right ear has conductive hearing loss
D. The left ear has conductive hearing loss, and the right ear has combined conductive and sensorineural hearing loss
E. Both ears have sensorineural hearing loss, but the right is worse than the left](https://app.figure1.com/case-detail/586c214c-5abd-4c1a-be41-7c361de5ee79)



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)