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PEP Halloween Escape Case
Kelli Frost
Created on October 15, 2024
Solve the mystery patient case to get the candy
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Transcript
PEP halloween escape
Get all the candy!
start
escape halloween
You're all dressed up and have your pumpkin ready for the spookiest night of the year. But there's just one problem...a patient mystery needs to be solved before you can head out into the night. Your mission: navigate through five haunted houses, solve the case questions, and amass a bone-chilling treasure trove of candy. 🎃👻🍬
go!
Go house to house!
Candy obtained
🔒
🔒
🔒
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Witch's house
Alert! Witches nearby! Dare to knock?
knock
60
1/3
How many pack years of smoking history does the patient have?
30
45
knock
knock
Headache
2/3
What other ROS history question is important to ask?
Weight loss
Nausea and vomiting
Arthralgias
3/3
What history finding would best support a diagnosis of pneumonia?
Fever
Hemoptysis
Spooktacular!
You've passed the first test and scored some candy. Keep it up!
Candy obtained
continue
Go to the next house!
Candy obtained
🔒
🔒
🔒
✔️
House of the Wolf
A wolf is on the loose! Got the guts to knock?
knock
1/3
What is the patient's BMI?
29.3
22.6
25.7
knock
knock
2/3
What adventitious lung sounds were auscultated on SAM?
Crackles
Rhonchi
Wheeze
3/3
What other physical exam finding would you suspect in your leading differential ?
Positive egophony
Unilateral lag
Clubbing
Awesome!
You've outsmarted the wolf, and your candy bag grows.
Candy obtained
continue
Go to the next house!
Candy obtained
✔️
🔒
🔒
✔️
Frankenstein's House
An electrifying house, are you up for it? ⚡
knock
1/3
What imaging study would you like to order first?
CT-PA chest
CT chest with contrast
CXR
knock
knock
2/3
The CXR demonstrates reticular markings at the bases? What would you like to order next?
VQ scan
High-resolution CT chest
Pulmonary angiography
Look
3/3
The CT shows bibasilar reticular abnormalities with minimal opacities. What is this called?
Plaques
Honeycombing
Consolidation
Look
You rock!
You've unraveled the mysteries of Frankenstein and scored more candy.
Candy obtained
continue
Go to the next house!
Candy obtained
✔️
✔️
🔒
✔️
House of the Mummy
A mummy in the house! Shall we?
knock
1/3
What is the most likely diagnosis?
Viral pneumonia
Asbestosis
Idiopathic pulmonary fibrosis
knock
knock
2/3
Idiopathic pulmonary fibrosis (IPF) predominatly affects:
Women
Men
No difference
3/3
What is a potential risk factor for IPF?
GERD
Obesity
Recurrent URI
Fantastic!
You've unraveled the mummy's secrets and bagged more candy.
Candy obtained
continue
There is only one house left!
Candy obtained
✔️
✔️
✔️
✔️
Dracula's house
Last stop, Dracula's House! Do we dare?
knock
1/3
What is the prognosis for IPF?
Good: 10 year survival
Poor: <5 year survival
Excellent: >15 year survival
knock
knock
2/3
What initial treatment option can be considered for mild IPF?
Lung transplant
Doxycycline (antibiotic)
Nintedanib (TKI)
3/3
What other supportive care should be offered?
Low-dose corticosteroid
Hospice
Supplemental oxygen
You're a legend!
You've bested the one and only Dracula, and your candy bag is bursting.
Candy obtained
continue
You did it!
Your journey has been fang-tastically amazing, and your candy haul is out of this world!
Are you sure you want to go out?
If you exit you will return to the start of the game and you will lose your progress