29 year old male seen in UK. Patient from Bulgaria. Attended | Figure 1

Case Details

29 year old male seen in UK. Patient from Bulgaria. Attended with 6 month history of painful lesions on tongue and palate. More recently complaining of significant dysphonia. Systemically well. Nil PMHx.

O/E: oral examination as above, small cervical LN palpable bilaterally. Underwent flexible naso-endoscopy revealing bilateral irregular looking cords.


Additional Cases

Tongue lesion asymptomatic lateral and ventral regions of the tongue bilateral existing for over 3 years. Any ideas for dx and tx?\n

A 42-year-old male presented to the emergency department for treatment of a rectal abscess. He reported a several day history of dry cough. He’s otherwise healthy with no past medical history and no recent travel. Oxygen saturation was 99% on room air. Leukocytosis was attributed to the abscess. A CT abdomen and pelvis to investigate the extent of the rectal abscess incidentally revealed bilateral basal pneumonia with ground glass appearance suggestive of COVID. He didn’t meet CDC requirements for screening, however a COVID nasal swab was sent to a private lab. He’s currently admitted and in isolation, receiving IV antibiotics. Vital signs are stable, and the dry cough persists. Awaiting results of the COVID results.

Performed ABI on patient who complained of bilateral buttock to calf pain since last summer. Preliminary findings suggest severe bilateral PAD. Patient was being treated for sciatica! With these symptoms, H/O smoking and DM, it seems unbelievable that none of her providers thought of this simple test to screen for PAD.

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?