Monday, January 21, 2008

VizD Challenge Week of 1/21/08

A 45-year-old man presents to your ED with the condition seen below. He just returned from Lambeau Field after watching the NY Giants route the GB Packers.


(click on image to enlarge)


Questions:
1. What is the diagnosis?
2. What is the most common initial presentation of this condition?



Winner receives $5!

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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.

8 comments:

NPG said...

This is frostbite, which usually presents with a discoloration of the skin, burning/tingling sensation, partial or complete numbness and sometimes pain.

Behdad said...

frost bite

Behdad said...

frost bite

Behdad said...

frost bite

AtYourCervix said...

Eww, I hate toes.

Ok, now for my guess - as the OB nurse. I'll say Gout. Presenting complaint is usually pain in the big toe.

I know I'm wrong, but it was the only thing I could think of.

Bodymender said...

Frostbite

White or grayish yellow in color with a hardening or waxy texture to the skin.

Anonymous said...

Hi,
It could be frostbite...

Peter H

vorbau said...

Frostbite, severe 1st degree. Most commonly presents on extremities after exposure to cold. May appear as numb, blanched or erythematous areas; formation of sterile blisters follows.