cystic acne | Figure 1

Cystic Acne

Similar Cases

54 yo female, known with metabolic syndrome on treatment with good adherence to her treatments. Two days ago her cat nailed her right leg. She woke up today, feeling cold with a burning sensation on her leg and severe pain. Weight 167 kg, Bp = 158/117 mmhg, pulse= 89 bpm, t° 37.8 °c. Leg slightly swollen, reddish skin, warm and tender. A small laceration leaking a clear fluid not with a calf hard warm and tender.

I work at a clinic in a manufacturing plant and deal primarily with industrial accidents/injuries. A week ago, a 63yo F security guard came in stating she was bitten by a spider 2 days ago and it's gotten worse since. I asked her if she saw the spider bite her and she states she did not. We have brown recluse and black widows here but I have never seen a spider bite present like this. I probed for more information and she reported that she was jobless for 2 years until last week and is currently at a homeless shelter. She denies any other lesions. Denies generalized symptoms (chills, aches, HA, abdominal cramping or pain, vomiting, etc). The images are progress over a week. Taken 2-3 days apart each. Tenderness along the superior border has improved consistently. I'd like to refer her out but she has opted against twice now.

28 yo male, 4 day hx of rash starting as papules that coalesced over the next day. No rash anywhere else. Systemically well, not taking any medications. Self treated with 3 days of 1% hydrocortisone with no improvement. What is the diagnosis?

This question is aimed at final year med students and interns: 58-year-old man came in with painful swelling on left lower leg for 3 days. History of fall with abrasion a week back. Patient is a known diabetic on metformin. He walks into an outpatient clinic.

  1. What do you check for on examination?
  2. What investigations will you order?
  3. What treatment/procedure(s) will you undertake?

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?