Diagram

Challenge: Based on the diagram, what's the defect called? Should you use prostaglandins or indomethacin?

Image shown under Fair Use.

Three Time World Heavyweight Champion

Challenge: Who's shown above and what's your diagnosis?

First image shown under Creative Commons Attribution Share Alike License; second image is in the public domain.

An Old Man and His Grandson

The painting shown above depicts a middle-aged man with a chronic disease that afflicts those with fair skin and light hair and eye color. He frequently blushes and flushes, especially with spicy foods, alcohol, temperature extremes, and emotion.

Challenge: What's the diagnosis?

Image is in the public domain.

Place, Haz, Door

Challenge: Look carefully (click to enlarge) - what's the diagnosis?

Image shown under Fair Use.

Don't Miss It

An 80 year old smoker with coronary artery disease s/p 2 vessel coronary artery bypass graft, hyperlipidemia, and congestive heart failure presents to the emergency department with rapid onset severe periumbilical abdominal pain, nausea, and vomiting. There is mild abdominal distension but no rebound, tenderness, or guarding. The patient's mental status is slightly worse than baseline. A rectal exam is positive for fecal occult blood. A CT is shown below.

Challenge: What's your diagnosis?

Image shown under Fair Use.

Turkish Delight

A 35 year old woman presents with infertility. She has irregular periods. Her husband has a child from a previous marriage. She denies galactorrhea. She does not take any medications. An MRI brain is shown above.

Challenge: What's your diagnosis?

Image shown under Fair Use.

Indigo

Whoa, this came out of a Foley catheter.

Challenge: What's going on?

Nuclear

A 40 year old woman who complains of neck pain radiating to the jaw, sweating, palpitations, weight loss, and malaise. On exam, you palpate a diffuse tender mildly enlarged goiter. Review of systems is positive for a recent upper respiratory tract infection. She has a mild anemia and leukocytosis. ESR is markedly elevated. You schedule a nuclear exam for her, which is shown below.

By the time the patient follows up after the test, she says her symptoms have changed completely. Now, she is feeling depressed, lethargic, cold, and constipated.

Challenge: What's your diagnosis?

Image shown under Fair Use.

Peas in a Pod

Challenge: What are the 3 peas? What is the pod?

Image shown under Fair Use.