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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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