During an assessment of a 60-year-old male, you note a thick…

During an assessment of a 60-year-old male, you note a thickened, yellowish discoloration of his nails, along with separation of the nail from the nail bed and slight pain at the base. He reports a history of chronic fungal infections in the past. What is the most likely diagnosis?

A 68-year-old male with a history of diabetes and hypertensi…

A 68-year-old male with a history of diabetes and hypertension presents to the emergency department with complaints of worsening fatigue, fever, and a new rash on his legs and torso. On examination, he is febrile (101°F), tachycardic, and has patches of purpura and ecchymosis scattered over his lower legs, as well as areas of pale, cool skin. His blood pressure is 90/60 mmHg. Which of the following physical exam finding is the most concerning in this patient?