History: A man in his mid 60’s with a history of HTN presents with 1 week of mild pleuritic left sided chest pain. He saw his doctor who has referred him to a cardiologist that he has not yet seen. He denies any SOB, fever, cough or other complaints
Exam: Vital signs are normal. Exam is normal except when looking at his back you see this

Initial Test Results:
- EKG normal
- chest x-ray was normal
What is the most likely cause of the skin condition?
- A) fungal
- B) viral
- C) congenital
- D) traumatic
- E) none of the above
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
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THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

- Emergency Medicine 1-Minute Consult, 5th edition
- A-to-Z EM Pharmacopoeia & Antibiotic Guide, NEW 5th edition
- 8-in-1 Emergency Department Quick Reference, NEW 5th edition
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QUIZ ANSWER:
- A) fungal
- B) viral – CORRECT – post herpetic hyperpigmentation and post-herpetic neuralgia
- C) congenital
- D) traumatic
- E) none of the above
Outcome:
1-Minute EM Consult on the topic for this case (scroll to page 83)
Emergency Medicine 1-minute Consult Pocketbook
