Fear is the great extinguisher of dreams… Conversely, it can be your best mentor and source of motivation. –Paula Amato Welcome back to episode 10! This week we review some key ophthalmologic findings with excellent teaching images for you to see. We also hit the lung, the joints, the extremities and even spend time on scorpions, snakes, and spiders.  We begin each episode with a rapid review of the previous week’s highlights then dive into the Q&A and wrap up with another rapid review of the covered content. Let’s get started. * The most common cause of pneumonia in an alcoholic is Streptococcus Pneumoniae. * Radial nerve palsy is a peripheral nerve lesion caused by compression of the radial nerve in the axilla. The most common findings are wrist drop and hand numbness over the first to third digits. It is managed conservatively with a wrist splint. * IV drug abusers are at risk for tricuspid endocarditis. The most commonly implicated organism is staph aureus. * Colchicine overdoses cause severe GI distress, bone marrow suppression, rhabdomyolysis, renal failure, metabolic acidosis, and even ARDS. * The mainstay of treatment for herpes zoster is pain control. Acyclovir may be prescribed within the first 72 hours of onset of the lesions. Now onto this week’s podcast Question 1 A 43-year-old man is currently undergoing palliative radiation therapy for pancreatic cancer. He presents to the emergency department with a 4-day history of gradually worsening left lower extremity pain. Pain is localized to the calf and made worse with ambulation. Exam shows mild edema of the left calf without erythema or warmth. Which of the following is the most likely diagnosis? A. Cellulitis B. Deep venous thrombosis C. Peripheral artery disease D. Superficial thrombophlebitis Teaching image Question 2  A 25-year-old man presents to the ED with right eye pain, tearing, and photophobia. After instilling fluorescein into the affected eye, you see the above on slit lamp exam. Which of the following is the most likely prognosis of this condition? A. Complete resolution within 24-72 hours B. Corneal erosion and perforation C. Diminished unilateral visual acuity D. Recurrent lesions with viral reactivation Teaching image Question 3 In which setting is allopurinol contraindicated for the treatment of gout? A. Acute attack of gout B. Alcoholic patient C. Hyperuricemia greater than 8.0 D. In combination with colchicine Teaching image Question 4  A 52-year-old man presents with a red right eye that is associated with severe pain and blurred vision. On exam, there is some cloudiness to the cornea. Pupils are 5 mm OD and 3 mm OS. Which of the following is the most likely diagnosis? A. Acute glaucoma B. Conjunctivitis C. Iritis D. Keratitis Teaching image 1 Teaching image 2 Question 5 Heightened sensitivity to touch in the area of the sting, along with local numbness and weakness,