Monday, January 7, 2008

VizD Challenge Week of 1/7/08

A 5-year-old boy presents to your ED with 2-days of rectal itching

(click on image to enlarge)

1. What is the diagnosis?
2. What is the treatment for this condition?

Winner receives $5!

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Though your answer won't post, I will have a record of it.
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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.


Graham said...

1) Pinworms!
2) mebendazole (Vermox) or Pin-X (pyrantel pamoate)!

Anonymous said...

vermicularis enterobius - that boy got the worms!

beadnik said...

pinworms! ack

WongML said...

Pin worms (Threadworms).

HicksterAZ said...

1. Enterobius vermicularis (pinworms)

kullervo said...

I'll go with Enterobius vermicularis, or good old pinworm. Treat OTC with Pin-X twice, a couple of weeks apart, and heck, burn the house down and start again.

Kristof said...


Pro et Contra Medic said...

1. Diagnosis: Anal haemolytic streptococcus infection.

2. Treatment, p.o. Phenoxypenicillin, if allergic erytromycin (where I go to medschool we can use those antibiotic, but in your case it depends upon your local resistance pattern for relevant bacteria) and chloridehexdine soap.