Image IQ: 50 year old man with nausea, vomiting, mental status change and rash

How good are your diagnostic skills?  Test them here with this month's Visual Dx quiz!

A 50-year-old man has arrives at urgent care complaining of nausea and vomiting. The doctor observes an altered mental state, shaking, and suspects long-term alcohol abuse based on the exam. The patient has a pruritic rash on both hands that look like “gloves” and around his neck in the shape of a necklace.

Can you diagnose the patient? Use the Differential Builder in VisualDx to help you

A. Pellagra
B. Hepatitis C
C. Atopic dermatitis
D. Hypereosinophilic syndrome

Learn more about this diagnosis on the VisualDx site