juliamcarthur

Registered Nurse
29 year old male. No past medical history. No prescription medications. New onset penile lesions x 5 days. Non tender. Intermittent exudate. Well demarcated erythematous borders with central ulceration. Monogamous with single female partner x 6 months.

No dysuria. No pelvic lymphadenopathy. No fevers. No malaise. No weight loss. No prior vesicular phase.

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22 years old male. Relapsing exanthema of leukocytoclastic vasculitis over three months. ANA 1:100, kidney normal, other antibodies not yet back from lab. Aciclovir treatment and topical Clobeatsol by other doctors over many weeks. Waiting for more detailed blood results right now. No other medication. No drugs. History of positive Lues serology, proven at false positive! What are your thoughts?

A 30-year-old male, married presented to dermatology clinic with a 3-month history of these painless, small nodule on the scrotum. No Hx of itching and no Hx of pain. What’s the most likely diagnosis?

rash x 6 days on part of glans mucousa, shaft skin/foreskin, slight erythema, now tender, nil ulceration, nil pus, very first episode- patient is 79, in stable relationship with wife, also has urinary incontinence secondary to prorate surgery. Patient has consented to the use of the image

diagnosis? Completely Painless, non-tender, blister-like lesions in supra pubic region and base of penis x 1 month. Base of penis lesions are newer. Sexually active, uses condoms. No s/s of STD at all. No constitutional signs. Otherwise healthy 27 year old.

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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.

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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?