Scalp #Psoriasis with fingernail involvement | Figure 1

lilFNP

Nurse Practitioner

Scalp #Psoriasis with fingernail involvement

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Women 70 years patient is admitted presenting edema, muscle package, presence of hyperchromic lesion and phlogistic signs in the mid. antibiotic therapy started, laboratory exams collected and admission was performed. using meropenem, clindamicin and vancomicin. evolving with hemodynamic instability, requiring dva, using noradrenaline (10 ml/h). recurrent dysglycemia (hypo) associated with hyponatremia (performing sodium replacement and performing glucose correction). SSVV PA100x60 (WITH DVA) SPO2:98%AA ECG15 ON EXAMINATION: regular general condition, eupneic, normocardica. abdomen: distended and painful on deep palpation in the right flank and left flank. LABORATORY TESTS: Leukocyte: 28,450/MM3 (MON: 93%); Urea: 154 MG/DL; Creatinine: 2.75 MG/DL; Sodium: 126 MG/DL; HB10; PLQ26k; PCR: 212.9. mid arterial doppler (few days ago): diffuse atheromatosis, without hemodynamically significant stenoses. there are no signs of oaa at this time.

Large severely calcific #Plaque(s) from femoral artery

#Hyperlipidemia

89 year old with recent diagnosis of thyroid cancer with mets to brain presents to ER with mouth pain / poor oral intake. Thoughts on what these plaques are?

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?