A 69-Year-Old Male with Left-Sided Chest Pain and Dyspnea for 3 Days

Click Here to download the PDF. Figure 1: Initial ECG (Case presented by Benjamin Cooper, MD, MEd, FACEP, Department of Emergency Medicine, McGovern Medical School at UTHealth Houston.) …
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Sporotrichosis

A 46-Year-Old with Evolving Sores on Her Hand and Arm

Click Here to download the PDF. A 46-year-old female presents with an evolving eruption that developed on her right hand and spread to her forearm over the past several weeks. She is an immunocompetent commercial landscaper who lives in Brazil, and she does not recall any specific injury. She is regularly exposed to toxic plants and sustains minor scratches and cuts at work. She also suspects that she could have experienced bug bites. She appears well and is without systemic symptoms. On examination, you note smooth, scaly, and crusted, erythematous …
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Direct Blow to the Eye

A 40-Year-Old with Swelling After a Direct Blow to the Eye

A 40-year-old male presents with pain and swelling in his right eye after being struck by a foul ball while coaching his daughter’s softball game. View the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page …
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A 61-Year-Old Female with History of Hypertension and New Palpitations and Shortness of Breath

A 61-year-old female with a past medical history of hypertension presents to urgent care with palpitations and shortness of breath for 3 days. She also reports cough and fever, and denies nausea or vomiting. View the initial ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page. Figure 1. Initial ECG (Case presented by Catie Reynolds, MD, McGovern Medical School at UTHealth Houston, Department of Emergency Medicine.) …
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A 7-Year-Old Male with Lesions on His Knees

A mother brings her 7-year-old son to your urgent care center because she’s concerned about asymptomatic lesions that have developed on his knees over the past couple of weeks. On examination, you observe smooth, crusted and scaly, erythematous and whitish papules and nodules on both knees. There was no history of recent trauma. The patient had a history of dermatomyositis. View the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page …
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