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Lion Fish (Pterois volitans). Envenomations occur by contact with the erectile spines on the dorsal, pelvic, and anal fins of the fish. (Photo contributor: Kevin J. Knoop, MD.) Source: ENVIRONMENTAL CONDITIONS, The Atlas of Emergency Medicine, 4e Citation: Knoop KJ, Stack LB, Storrow AB, Thurman R. The Atlas of Emergency Medicine, 4e; 2016 Available at: http://mhmedical.com/ Accessed: May 14, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved