Hair plug imbedded in skin of umbilicus, removed during OR p | Figure 1

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Hair plug imbedded in skin of umbilicus, removed during OR prep


75 y male. Presented with blisters on left lower limb. All blisters appearing on foot, calf and shin. It is the first occurrence. New blisters appearing roughly every 2 weeks.
Patient is on aspirin and atorvastatin.
Blisters appear spontaneously.
? Diagnosis

36 yo male 1 month of evolution what the probable Dx?

Presumed Brown Recluse bite. Inner border is s/p 36 hours bite, outer is s/p 60 hours. Keflex started at 36 hours, Bactrim added at 60 hours.

14 year female child presenting with hyperpigmented lesions associated with itching.

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?