I AM A LOOKING TO GO

What’s causing these pruritic lesions?

Figure 1 Quiz of the Week A 38-year-old man presents with itchy, scaly lesions on his elbows and small, erythematous papules in the web spaces of his fingers.   Image credit: @RamonaNP. Answer: Scabies Scabies is caused by the tick Sarcoptes scabiei, that burrows into human skin where it lays its eggs. The inflammation is caused…

What’s causing this patient’s lung mass?

Figure 1 Quiz of the Week A 60-year-old man presents to the emergency department with worsening shortness of breath and a non-productive cough. He has congestive heart failure and was treated three weeks earlier at a neighboring hospital. On examination, he has normal vital signs and marked bilateral pitting lower limb edema. A chest X-ray…

Accidental poisoning or medication misuse?

fomepizole

Figure 1 Quiz of the Week A 20-year-old mechanic is brought to the emergency room after his co-workers found him exiting the garage inebriated and confused hours earlier. On examination, he is disoriented, ataxic, and complains of nausea. A urine toxicology screen is negative and urinalysis reveals the rhomboid calcium oxalate crystals seen here. Image…