DRdiaz07

Internal Medicine Resident

Patient with suicide attempt due to insulin poisoning 70/30

52-year-old male patient with a history of major depression who I brought to 911 and was found unconscious at home.

Paciente con intento se suicidio por intoxicación de insulina 70/30

Paciente masculino de 52 años de edad con antecedentes psiquiátricos depresivo mayor el cual he traído por el 911 el cual fue hallado inconsciente en su hogar

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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.

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.