Spot Diagnosis

45-year-old man 6-weeks status post CABG with complaints of increasing dyspnea on exertion and orthopnea.

Physical examination revealed an enlarged thyroid with no palpable nodules or cervical lymphadenopathy. When the patient raised both arms, he developed reversible facial congestion.

37-year-old man presents to the Emergency Department with pleuritic chest pain and shortness of breath. What's the diagnosis ?

An 8-year-old girl was admitted to the hospital with 7-day history of fever and diffuse macular rash. What could be the diagnosis ?

A 23-day-old male infant was brought to the emergency department after 5 days of increasing vomiting. Physical exam revealed mild dehydration and an olive-sized abdominal mass.

A 4-day-old, full-term, healthy female infant underwent a change in skin color from normal to red over one half of her body. The change in color persisted for a week.

40-year-old man with liver failure, ascites, and absent right-sided breath sounds.

A previously healthy 1-year-old girl was admitted to the hospital with a 4-day history of high fever accompanied by erythema and swelling of the left third finger, gingival inflammation, and tongue ulcerations.

40-year-old woman with long-standing uremia presents with increasing shortness of breath.

What nebulized medication is most likely to have caused this patient's anisocoria?