Answer: VizD Challenge Week of 2/25/08

Lance is the winner of this week's VizD!

Thank you to everyone who participated!

Lance is the winner of $10

Recap:
A 5-year-old boy presents to your ED with the problem seen in the image below. He states that it is painful.

(click on image to enlarge)

Questions:
1. What is the diagnosis?
2. How do you treat this condition


Answer:
1. Paraphimosis - the entrapment of a retracted foreskin that cannot be reduced
2. Squeeze the glans for 5 minutes to reduce swelling can lead to spontaneous reduction. If unsuccessful, local anesthesia and vertical incision of the constricting band is recommended

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.