Answer: VizD Challenge Week of 10/29/2007

Congratulations to JuliaMD, she is this week's VizD winner.

Thank you to everyone who participated!

JuliaMD is the winner of $5


Recap:
A 37-year-old man presents to your Urgent Care clinic complaining of a painful lump to the back of his neck. He states the lesion has been there for more than 3 years but it has never been this painful. On your exam, the lesion is erythematous so you decide to perform an incision and drainage.

(click on image to enlarge)
Questions:
1. What is the name of this lesion?
2. What is the material that is released from the lesion after incision?
3. After the incision and drainage, does the lesion have a high or low likelihood of returning?


Answers:
1. Epidermal inclusion cyst or sebaceous cyst
2. Sebum
3. High - must remove the keratin lining of the cyst by surgical excision to avoid recurrence

The Next VizD Will be Posted on November 5

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.