Welcome to the Amazing Case Race!
You are embarking on a journey across country but your medical expertise has been requested before your departure. You are on a deadline to get to Washington D.C. as quickly as possible so you don't miss the Cherry Blossom parade.
Primary Contact Information
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First Name
Last Name
E-mail
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Medical School
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This activity is timed. Answers and feedback are not available in this activity but the complete cases will be available the last day of the event.
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Begin your journey
Home in Los Angeles
Once you tend to one more patient you can depart on your roadtrip trip across The United States.
Your patient, a 26-year-old man recently furloughed from jail, is found unresponsive in a bathroom. The patient is intubated, and chest compressions are given with intravenous fluids and vasopressors. Upon arrival at the hospital, the patient undergoes a noncontrast head CT. Given the provided history and images, which diagnosis is most likely?
Carbon monoxide poisoning
Global hypoxic ischemic brain injury
Uremic encephalopathy
Posterior reversible encephalopathy syndrome (PRES)
A subsequent CT of the abdomen and pelvis without intravenous contrast revealed a suspected ingested foreign body with low attenuation (Hounsfield units [HU] of −514) in the descending colon. Given the attenuation of the foreign body, head CT findings, and clinical presentation, which substance is likely contained within the foreign body?
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Cocaine
Opium
Heroin
Hashish
Methamphetamine
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Go to Denver
Welcome to Denver!
Your L.A. radiology department has requested your expertise for treating the L.A. patient before you head to your next stop.
If a patient develops one of the complications of body packing, which treatment is indicated?
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Urgent laparotomy
Barium enema
Flexible sigmoidoscopy
Large bowel irrigation
Conservative measures
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Go to Dallas
Welcome to Dallas
Your reputation precedes you! A colleague in Dallas has requested your help with a case before departing.
A 12-month-old previously healthy boy presents with a 1-day history of nonbilious vomiting and increasing lethargy. Based on the provided figure, which is the single best diagnosis?
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Intussusception
Pyloric stenosis
Gastroenteritis
Small-bowel obstruction
Ileus
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Go to Nashville
Welcome to Nashville
You are making great time! Before you can leave music city, you need to give a call back to your Dallas colleagues to answer one more patient question.
This figure demonstrates the transition point on ultrasound. Which one of the following is accurate based on the image?
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Obstruction due to intussusception
Obstruction caused by an organic matter foreign body
Obstruction caused by a metal foreign body
Obstruction caused by an intraluminal mass
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Go to Washington, D.C.
Welcome to Washington, D.C.
The monuments are in sight, but a well-renowned colleague here in the Capitol has requested your assistance.
A 70-year-old male health care worker with a medical history of bronchiectasis, due to 9/11-related illness, presents to the emergency department with a worsening, nonproductive cough, chills, and fevers. In the days after his admission, he also develops worsening shortness of breath. Which of the following are present in the scan below? Check all that apply.
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Ground-glass opacities (GGOs)
Consolidation
Pulmonary calcifications
Crazy-paving pattern
"Reverse halo" sign
Finish
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