All Cases
Friday, April 11th, 2025
Unanswered

Abdomen / Pelvis
8-year-old boy with abdominal pain and fever. s/p appendectomy 2 years ago
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Abdomen / Pelvis
8 year old boy with several years of intermittent left sided abdominal pain, comes to ER with nausea, vomiting.
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Chest / Cardiac
A 33 year old pregnant female at 38 weeks 2 days gestation presents for further evaluation after prenatal ultrasound demonstrated a new fetal chest mass.
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Neuro / Head & Neck
11-year-old boy presenting to the emergency department with ear drainage, headache and blurry vision.
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MSK
13 year old female with intermittent pain at the lateral aspect of the left knee.
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Just for Fun (Excluded from Leaderboard)
Dr. Neil Johnson and his son, Chris Sternal-Johnson, celebrating a monumental achievement.
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Abdomen / Pelvis
A 10 year old male presented to the emergency department with nausea, vomiting, and abdominal pain after being hit in the abdomen while playing soccer. The patient was found to be febrile and tachycardic, with serum laboratory values showing leukocytosis and anemia.
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Abdomen / Pelvis
5-year-old boy presenting with acute onset of nausea and abdominal pain.
Thursday, April 10th, 2025
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Abdomen / Pelvis
8 year old female with history of abdominal pain and chronic constipation presenting with worsening pain and emesis after recent intervention.
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Chest / Cardiac
A 17-year-old girl was found unresponsive after an unwitnessed fall at home. Upon arrival to the emergency department, she had a blood pressure of 240/110. She was categorized as a level 1 trauma and received the following CT traumagram.
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Fetal
33 y/o woman, G2P1Abnormal ultrasoundGestational age: 20 wks 1 day
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Neuro / Head & Neck
15-year-old girl with a remote history of B -ALL, presented with two weeks of headache, fever and myalgias.
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MSK
A five-year-old child presented to an outside emergency room with his parents with concern for developing swelling and erythema of the left hand over the past day. Initial radiographs performed in the outside ED raised concern for a possible foreign body in the soft tissues between the bases of the...
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MSK
10 year old with knee swelling.
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Abdomen / Pelvis
14 year-old male with a hyperenhancing left scrotal lesion incidentally noted on a CT abdomen pelvis performed for umbilical hernia
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Abdomen / Pelvis
14 yo Female presents with abdominal pain and gross hematuria
Wednesday, April 9th, 2025
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Abdomen / Pelvis
4-month-old female with antenatal diagnosis of bilateral renal enlargement and hydronephrosis.
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Chest / Cardiac
11 year old male presents with chronic cough and frequent respiratory infections. Notably, he also describes foul-smelling stools, fatigue and a plateau in weight gain.
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Fetal
30-year-old patient presenting for 20 weeks fetal anatomy scan, level 2 prenatal ultrasoundRight pelvic complex cystic fetal mass noted at 20weeks and 6days estimated gestational age (EGA)Patient referred to the Perinatal and Fetal Cardiology Programs-Nemours Children’s Health DelawareFetal MRI and...
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Neuro / Head & Neck
35 month old female with no significant medical history who presents to the Emergency Department with worsening gait disturbance and tremor. CT and MRI of head done at initial presentation 1 month prior was negative.
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MSK
Newborn infant - mother has concerning lab results and limited prenatal care.
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Neuro / Head & Neck
1 day old male, prenatally diagnosed with cortical malformation and occipital cephalocele. Normal fetal imaging of chest and abdomen.
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Neuro / Head & Neck
12-year-old girl with headache for 2 weeks. Previously healthy. Living in Thailand.
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Abdomen / Pelvis
Previously healthy 12-year-old male presenting with chest, pain, diaphoresis, headache, and hypertension.
Tuesday, April 8th, 2025
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Abdomen / Pelvis
12 yo post-menarchal female with no significant medical history presenting to the Emergency Department with a 1 week history of worsening RLQ abdominal pain with intermittent nonbloody emesis.
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Chest / Cardiac
18-year-old girl with night fever and mild headache.Underlying Crohn's disease, on infliximab.
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Fetal
A 20-year-old primigravida was referred for third-trimester targeted ultrasonography for "fluid in the 4th ventricle." A fetal MRI was performed after reviewing the ultrasound images.
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Neuro / Head & Neck
17-year-old girl presenting with fever and left neck pain. Previously healthy.
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MSK
A six-year-old child with a history of congenital insensitivity to pain presented to the pediatric emergency room with complaints of acute on chronic left ankle swelling. Approximately three months prior, she had broken her left tibia which was treated with casting for seven weeks. Upon removal of t...
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Abdomen / Pelvis
Newborn infant, no prenatal imaging.
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Mixed Bag
A 10 month old male with no significant medical history presents to the pediatrician with chief complaint of fever, cough, bilateral conjunctivitis, and right neck swelling. The patient was started on Keflex for adenitis and developed a generalized rash, after which the antibiotic treatment was stop...
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Neuro / Head & Neck
5 year old boy with profound developmental delay who presents with altered mental status and news weakness.
Monday, April 7th, 2025
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Abdomen / Pelvis
5-week-old male with acute right scrotal swelling, discoloration and inconsolable crying. History of bilateral congenital hydroceles at birth.
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Chest / Cardiac
A 5-day old previously healthy term infant presented to the pediatric ER with cyanosis. Patient was intubated and chest radiographs were obtained. Patient was admitted with findings of thrombocytopenia, hypotension, and tachycardia. Abdominal and intracranial ultrasounds were negative. Symptom...
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Fetal
36 weeks gestational age pregnancy for evaluation of ventriculomegaly, negative TORCH testing, small for age fetal biometry.
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Neuro / Head & Neck
11-year-old boy with seizure.
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MSK
10-year-old girl presenting with left leg weakness and burning sensation. Off therapy for ALL.
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MSK
16-year-old male with right shoulder injury following MVC
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Mixed Bag
9 year old, healthy girl with firm nodule inferior and lateral to left nipple. Has been there for years, nontender, but may have increased in size.
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Syndromes
Patient is a term 2 month old male presenting with poor tone, respiratory distress, coarse facial features, and failure to thrive.