@DireStraits77 Incredible. I’ve never heard this song before but I was mesmerized the entire time. Blows my mind the talent -absolutely love listening to you guys play
@DawnsMission@lorenzolamas So disappointed he didn’t make the primaries. Hilton seems nice enough but he’s not Native American and that does make a difference for some
Voters. Chad Bianco seemed so level headed and strong.
@drkeithsiau@Odikiwise My 52 y/old male patient just had an I&D in ankle -podiatry told him gout but excruciating pain unresponsive to oral therapy, ended up with benign crystal formation pseudo gout -non-infected. No trauma prior
@drkeithsiau@OmarAla48853819 17 y/old neighbor just diagnosed this week w/alveolar rabdosarcoma. She developed a lump in mid foot which podiatry blew off x3 weeks. Primary Children’s hospital in SLC dx her after bx. I’ve never heard of aggressive cancer originating in foot. Be safe
Toxic Epidermal Necrolysis (TEN) or severe Stevens-Johnson Syndrome (SJS/TEN overlap).
Hand with significant redness (erythema), swelling (edema), widespread skin peeling in large sheets, and evidence of prior blistering (collapsed blisters with loose, detached epidermis). This is a classic presentation of sheet-like epidermal detachment with underlying inflammation.
These conditions form a spectrum of severe, life-threatening mucocutaneous reactions, most commonly triggered by medications (e.g., antibiotics, anticonvulsants, allopurinol, NSAIDs). They cause full-thickness epidermal necrosis, leading to blistering, positive Nikolsky sign (skin shears off easily with pressure), and large areas of peeling skin resembling a severe burn. The palm is a common site, and the appearance matches medical descriptions and images of TEN/SJS hands, where the epidermis detaches in wrinkled sheets over erythematous, edematous bases.
The hospital bed setting supports a severe, systemic illness requiring inpatient care (often in a burn unit). #MedTwitter #MedEd #MedX
@j00ny369T We grow these in southern idaho. Guaranteed-they are sweet to taste and bitter as hell aftertaste! Cattle love them. They have to be processed to raw sugar then refined for actual sugar. It’s a big process but pretty amazing.