Biggest thyroid I’ve ever seen removed!! Patient had known g | Figure 1

Biggest thyroid I’ve ever seen removed!!

Patient had known growth for 20 years and neglected themselves to care for their young children. The outcome was impressive!

Diagnosis: Thyroid Goiter

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Female pt, age 11, no med concerns. Came in today for routine prophy ( cleaning) While taking intra oral photos of airway noticed tissue emerging from esophagus (white arrow pointing to tissue.) No pain, no problems swallowing, no nodules felt on neck...Thoughts?? We are referring for a evaluation with ENT.

Tooth displaced by general DDS during extraction. Removed from parapharyngeal space with OMFS and ENT services via intraoral approach.

64 y/o female with noted lesion to back of throat and uvula. Non-painful. No fever. Only additional complaint is dry cough and feeling constant need to clear mucus. Cough is worsened with attempts to eat or drink. Cough also leads to a sneeze. I'm thinking objective findings and subjective complaints are unrelated. Any thoughts?

7yo male has this lesion for over 2 weeks long now. Not as painful as it was in the first few days. Tonsils became sore since yesterday, so mother took him to the pedo this morning, the culture came negative so he assumed it's viral for the tonsils. Submandibular #lymph-nodes are swollen. What do you think?

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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?