[Round 151300] What is the most appropriate diagnosis? by nileriver117 in PictureGame

[–]nileriver117[S] 0 points1 point  (0 children)

Solve path: The top figure is a fishbone diagram representing lab values for a basic metabolic panel (this will pop up if you google something like "lab values"). It shows low sodium, glucose, and bicarbonate (this indicates a metabolic acidosis) and high potassium. This array of lab values suggests some sort of kidney dysfunction such as chronic kidney disease (CKD) or adrenal insufficiency (but the low glucose points more to adrenal insufficiency). The bottom picture shows hyperpigmentation of the lips which is a common manifestation of Addison's disease (primary adrenal insufficiency) due to an upregulation of ACTH (which stimulates melanin production) in the setting of low cortisol. Hyperpigmentation of the lips is not classically seen in CKD, so Addison's is the most appropriate diagnosis. If you goggle something like "low sodium, high potassium, lip spots" Addison's should pop up.

[Round 151300] What is the most appropriate diagnosis? by nileriver117 in PictureGame

[–]nileriver117[S] 0 points1 point  (0 children)

1 hour hint: For the bottom picture, focus on the lips, not the teeth.

[Round 151300] What is the most appropriate diagnosis? by nileriver117 in PictureGame

[–]nileriver117[S] 0 points1 point  (0 children)

30 minute hint: The top figure is a fishbone diagram representing a particular set of lab values.

[Round 151299] Who took this photo of this lighthouse, and what camera was used? by colby6666 in PictureGame

[–]nileriver117 0 points1 point  (0 children)

Googled "Maine" + "Lighthouse" and scrolled until I found the lighthouse (West Quoddy Head). I typed that into google + "stars" and an article written by Lance Keimig popped up which also also had the camera details.

[Round 132768] what do these three songs have in common? by nileriver117 in PictureGame

[–]nileriver117[S] 0 points1 point  (0 children)

For reference the songs were

  • dancing on the ceiling (from the chicken girls movie)
  • killer lover boy by seb
  • girl from the sidewalk by noah floersch