I AM A LOOKING TO GO

Accidental poisoning or medication misuse?

fomepizole

Figure 1 Quiz of the Week A 20-year-old mechanic is brought to the emergency room after his co-workers found him exiting the garage inebriated and confused hours earlier. On examination, he is disoriented, ataxic, and complains of nausea. A urine toxicology screen is negative and urinalysis reveals the rhomboid calcium oxalate crystals seen here. Image…

What substance is associated with this presentation?

Figure 1 Quiz of the Week A 45-year-old female presents with painful lesions on her lower limbs and ears. She is a smoker, and has a history of recreational drug use. Purpuric, necrotic lesions are noted on both lower extremities, in addition to tender purpura on both ears. A biopsy is performed which demonstrates leukocytoclastic…

Cough, conjunctivitis, and coryza — what’s the cause?

Figure 1 Quiz of the Week A five-year-old male with a four-day history of fever presents with a new erythematous rash. His mother says he has been coughing and sneezing for the past few days. Examination reveals conjunctivitis, grayish elevations on the buccal mucosa opposite his molar teeth, and a maculopapular rash on his trunk…

What history does this incidental finding suggest?

Figure 1 Quiz of the Week A 62-year-old female, G3P3, presents to her gynecologist with a year-long history of worsening stress urinary incontinence. During the course of her investigation, a pelvic MRI is performed, and reveals the findings seen here. Image credit: @WAiKtheRAD.   Answer: Breast cancer The thickening and cystic changes of the endometrium seen here…