Re-upload. Okay I posted and it was taken down. So to clarif | Figure 1

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Re-upload. Okay I posted and it was taken down. So to clarify the towel is orange because it is the mother's. She is a germaphob and got permission to bring it in. The patient is a 2 y/o female. Positive rotavirus stool cultures. Woke this morning with fever of 102.2 and this rash on her upper body. Mainly arms and bright pink cheeks. I am thinking heat rash/viral rash from my assessment. Ideas?

Update from previous case. 3 days later lesions on the upper extremities have faded and seem less raised but new ones have appeared in the lower extremities. We decided to watch and wait since there was no improvement on antihistamines or methylprednisolone.

FEMALE, 27 YEARS OLD, WITH PRURIGIOUS EXANTHEMATIC LESIONS ON TORSO AND LIMBS FOR MONTHS, PRESENTS NON-REAGENT VDRL AND FTA-ABS, REFRACTORY TO TREATMENT WITH FLUCONAZOLE.

Adult female patient. Rash is pruritic and developed over 3 days. Diffuse and somewhat symmetric (neck, back, arms, abdomen, upper legs). First noted over arms. No new exposures or history of allergic reaction. No recent travel. No preceding fever or URI sxs.

[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.

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?

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