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
start
Get all the candy!
PEP halloween escape
go!
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. ππ»π¬
escape halloween
1
π
π
π
π
Candy obtained
Go house to house!
knock
Alert! Witches nearby!Dare to knock?
Witch's house
Use PAGE 1 of the patient case provided to answer the questions
knock
knock
45
30
How many pack years of smoking history does the patient have?
1/3
60
Nausea and vomiting
Weight loss
What other ROS history question is important to ask?
2/3
Headache
Hemoptysis
Fever
What history finding would best support a diagnosis of pneumonia?
3/3
Arthralgias
continue
Candy obtained
You've passed the first test and scored some candy.Keep it up!
Spooktacular!
βοΈ
π
π
π
2
Candy obtained
Go to the next house!
knock
A wolf is on the loose! Got the guts to knock?
House of the Wolf
Turn to PAGE 2 of the patient case to answer these questions You will also complete a physical exam on SAM
knock
knock
25.7
22.6
29.3
What is the patient's BMI?
1/3
Wheeze
Rhonchi
Crackles
What adventitious lung sounds were auscultated on SAM?
2/3
Clubbing
Unilateral lag
Positive egophony
What other physical exam finding would you suspect in your leading differential ?
3/3
continue
Candy obtained
You've outsmarted the wolf, and your candy bag grows.
Awesome!
βοΈ
π
3
π
βοΈ
Candy obtained
Go to the next house!
knock
An electrifying house,are you up for it? β‘
Frankenstein's House
Turn to PAGE 3 of the patient case to answer these questions
knock
knock
CXR
CT chest with contrast
CT-PA chest
What imaging study would you like to order first?
1/3
Look
Pulmonary angiography
High-resolution CT chest
VQ scan
The CXR demonstrates reticular markings at the bases? What would you like to order next?
2/3
Chest radiograph of a patient with idiopathic pulmonary fibrosis showing bilateral lower lobe reticular markings (red circles)
Look
Consolidation
Honeycombing
Plaques
The CT shows bibasilar reticular abnormalities with minimal opacities. What is this called?
3/3
Classic subpleural findings
continue
Candy obtained
You've unraveled the mysteries of Frankenstein and scored more candy.
You rock!
βοΈ
π
βοΈ
4
βοΈ
Candy obtained
Go to the next house!
knock
A mummy in the house!Shall we?
House of the Mummy
knock
knock
Idiopathic pulmonary fibrosis
Asbestosis
Viral pneumonia
What is the most likely diagnosis?
1/3
No difference
Men
Women
Idiopathic pulmonary fibrosis (IPF) predominatly affects:
2/3
Recurrent URI
Obesity
GERD
What is a potential risk factor for IPF?
3/3
continue
Candy obtained
You've unraveled the mummy's secrets and baggedmore candy.
Fantastic!
βοΈ
5
βοΈ
βοΈ
βοΈ
Candy obtained
There is only one house left!
knock
Last stop, Dracula's House!Do we dare?
Dracula's house
knock
knock
Excellent: >15 year survival
Poor: <5 year survival
Good: 10 year survival
What is the prognosis for IPF?
1/3
Nintedanib (TKI)
Doxycycline (antibiotic)
Lung transplant
What initial treatment option can be considered for mild IPF?
2/3
Supplemental oxygen
Hospice
Low-dose corticosteroid
What other supportive care should be offered?
3/3
continue
Candy obtained
You've bested the one and only Dracula, and your candy bagis bursting.
You're a legend!
Your journey has been fang-tastically amazing, and your candy haul is out of this world!
You did it!
exit
back
If you exit you will return to the start of the game and you will lose your progress
Are you sure you want to go out?
try again!
Oh! You have failed...