Doctor Detective
Order Up!
Fact or Fiction?
Consult Corner
Random
Imaging
100
The likely diagnosis for a 85 y/o patient who presents with fever, productive cough, and pleuritic chest pain, with crackles on auscultation of the right lung with your stethoscope.
What is pneumonia? (Streptococcus pneumoniae)
100
This routine blood test gives you information about red cells, white cells, and platelets.
What is a CBC (complete blood count)?
100
Antibiotics kill viruses.
What is fiction? (Antibiotics target bacteria, not viruses.)
100
Your next consultation for a patient who develops chest pain and new ST elevations.
What is a Cardiology consult?
100
This blood vessel carries oxygen-poor blood from the heart to the lungs to pick up oxygen.
What is the pulmonary artery?
100
What imaging modality is this?
MRI
200
The likely diagnosis for a 10 y/o child presenting with sudden onset sore throat, fever, and headache, with tonsillar exudates and anterior cervical lymphadenopathy on examination, but no cough.
What is strep throat? (streptococcal pharyngitis)
200
Your patient says they don’t want any imaging studies using radiation. You explain there are two major imaging types that don’t use radiation: ultrasound and ___.
What is MRI (magnetic resonance imaging)?
200
Cracking your knuckles causes arthritis.
What is fiction? (Multiple studies show no link; the sound is from gas bubbles in the joint fluid.)
200
Your consultation to guide management for a patient with chronic kidney disease who now has severe anemia and metabolic acidosis.
What is Nephrology?
200
This condition occurs when fatty plaques build up in arteries, increasing the risk of heart attacks and strokes.
What is atherosclerosis?
200
Diagnose the patient and state the main cause of this diagnosis
Ulnar Fracture, Injury directly to site by falls or blunt trauma
300
The likely diagnosis for a 58 y/o man who presents with sudden-onset crushing retrosternal pain associated with diaphoresis and nausea. EKG shows ST-segment elevation in leads II, III, and aVF.
What is a heart attack/STEMI (ST-segment elevation myocardial infarction)?
300
The imaging test you order for suspected deep vein thrombosis (clot) in a patient with unilateral leg swelling.
What is a venous ultrasound?
300
The left lung is smaller than the right.
What is fact? (The left lung needs room for the heart, has two lobes vs. three on the right.)
300
Your next consultation for a patient with persistent fever of unclear source after 5 days.
What is an Infectious Diseases consult?
300
The organ that can regenerate itself after partial removal.
What is the liver?
300
What is this pathology, and what is the sport most commonly associated with this injury?
5th metacarpal neck fracture (boxer's hand break) usually occurs in boxer's.
400
The likely diagnosis for a patient who collapsed after a long run and their urine looks like this:
What is rhabdomyolysis? (breakdown of skeletal muscle)
400
A test you would order to check long-term glucose control in a patient with diabetes.
What is Hemoglobin A1c?
400
You can have dangerously high blood pressure without any symptoms.
What is fact? (Hypertension is often called the “silent killer.”)
400
Your next consultation for a terminal patient with worsening uncontrolled pain.
What is a Palliative Care consult?
400
The first disease to be eradicated from Earth.
What is smallpox (variola virus)?
400
What organ is this, and what is the dark structure in the bottom right of the picture?
The heart, the chamber shown on the bottom right of the screen is the left atrium
500
The likely diagnosis for a patient who presents with increased thirst and unexplained weight loss over the past few weeks who appears dehydrated, with lab tests that reveal ketones in the urine.
What is Type 1 Diabetes Mellitus?
500
The test you would order to diagnose bacterial overgrowth in a patient with chronic diarrhea and steatorrhea (fat in the stool)?
What is a hydrogen breath test?
500
Fingernails grow faster on your dominant hand.
What is fact? (Likely due to increased blood flow from use of dominant hand.)
500
Your next consult for a ventilated patient whose family is in conflict regarding their code status.
What is an Ethics consult?
500
The only bone in the human body that doesn’t articulate with another bone.
What is the hyoid bone?
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500
What is the specific name of this pathology? (hint: that is a brain)
Subarachnoid Hemorrhage