I belong to emedicine.com, mainly to get continuing education credits. Every couple of weeks I get a case study to diagnose. Usually I get them right, but this one had me stumped.
[link|http://master.emedicine.com/email/image/image77/image77answer.html|http://master.emedic...mage77answer.html]
I am overcome with the urge to grab a scalpel and cut those things off.