I have bumps!

60-something yr old guy comes in with severe dyspnea, O2 sat in the low 80′s.  We start working like mad to get his sats up, Meanwhile, a family member says, “He’s also got some weird bumps on his back he’s had there for a couple of months and his doctor doesn’t know what they are.  Are you guys gonna look at those?”  Oh!  By all means!  We’ll need a stat Dermatology consult!

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