Case Update | Figure 1

ReginaldoCastro

Internal Medicine

Case Update

This case refers to a 67-year-old female patient, referred to the dermatology service due to suspected melanoma. The diagnosis was confirmed, and the patient underwent surgery for tumor removal. Image 2 shows the post-surgical appearance.

Diagnosis added by author

Melanoma

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Similar cases

Attached are the portable chest film and a coronal CT slice of the young patient who suffered an ‘atypical’ aortic dissection as discussed in this earlier entry: Check out this case on Figure 1

As mentioned in the case of the 21-year-old male with localized Ewing sarcoma of the femur - see case
The patient was completely unaware of this finding and is entirely asymptomatic. Follow-up will be performed with periodic X-rays.

1 year follow up No recurrence See original case here:

This is a case update. See original case. This patient was treated with Fluconazole 150 mg per week for 4 weeks and a mixture of Nystatin 100000ui with Dexamethasone cream. The second image shows the appearance after the treatment.

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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.

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?