Image Challenge
Source: The New England Journal of Medicine

Which one of the following drugs of abuse is most typically associated with the illustrated complication?
A- Ketamine
B- Heroin
C- Cocaine
D- Phencyclidine
E- Mescaline
Chose your answer?
Image Challenge
Source: New England Journal of Medicine

This 9-year-old boy presented with a two-day history of right shoulder pain after an upper respiratory tract infection. What is the cause of the abnormality demonstrated?
A- Palsy of the long thoracic nerve
B- Subcutaneous emphysema
C- Neuralgic amyotrophy
D- Pleural prolapse
E- Scapular subluxation
Chose your answer?
Image Challenge
Source: New England Journal of Medicine

What endocrine diagnosis is affecting the identical twin on the right side of the image?
A- Acromegaly
B- Addison’s disease
C- Cushing’s syndrome
D- Hypogonadism
E- Hypothyroidism
Chose your answer?
Answer of the image challenge
Answer of the image challenge D - Turner syndrome
Why?
Redundant nuchal skin is a typical finding in neonates with Turner syndrome and trisomies such as Down syndrome.
Image Challenge
Source: New England Journal of Medicine

What is the most likely diagnosis?
A- Alport syndrome
B- Angelman syndrome
C- Fragile X syndrome
D- Turner syndrome
E- Williams syndrome
Chose your answer?
Answer of the image challenge
The correct answer is letter E- Right sixth cranial nerve palsy.
Why?
The neurologic examination reveals an inability to abduct the right eye with horizontal gaze to the right, a finding that is consistent with an isolated right abducens nerve palsy.
Answer of the image challenge
The correct answer is letter C- Caput Medusae
Why?
These enlarged veins on his abdomen are consistent with caput medusae.
Image Challenge

What is the diagnosis?
A- Subcutaneous Metastases
B- Filariasis
C- Caput Medusae
D- Neurofibromatosis
E- Hepatocellular Carcinoma
Chose your answer?
Source: New England Journal of Medicine
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Answer of the image challenge
The correct answer is letter C - Pituitary tumor.
Why?
The sinus radiograph reveals an enlarged sella turcica. Magnetic resonance imaging confirmed a pituitary macroadenoma that had caused cerebrospinal fluid rhinorrhea.
Source: New England Journal of Medicine
Image Challenge

This patient presented with unilateral rhinorrhea. What is the diagnosis?
A- Nasal foreign body
B- Osteoma
C- Pituitary tumor
D- Skull fracture
E- Sinusitis
Chose your answer?
Source: New England Journal of Medicine
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Image Chalenge
Every day I’m going to choose a image challenge for you guys… You will have one day to answer, so then I’ll put the correct answer and an article about the topic of the challenge…
And all the credits go to NEJM - New England journal of medicine.
So here comes the first…

Which one of the following conditions is the most likely to be responsible for this clinical picture?
A- Excessive fluoride supplementation
B- Hyperbilirubinemia
C- Treatment with tetracycline
D- Trichophyton rubrum infection
E- Pseudomonas aeruginosa infection
Chose your answer?