A 45-year-old man presents to your ED complaining of fever and abdominal pain. He has a history of hepatitis C and ethanol abuse. You perform the procedure seen in the image below to confirm the diagnosis.
VizD is a weekly contest of an interesting or pathognomonic image from emergency medicine. Its goal is to integrate learning into a fun and relaxed environment. All images are original and are posted with the consent of the patient. For more information please refer to the following link.