Every month, Consultantlive.com tests your visual diagnostic skills with an ImageIQ. We offer a little clinical history and a single striking image—you guess the diagnosis. And, most of the time, you’re right. But sometimes the condition is rare or it closely mimics another. So, here’s your second chance. We’ve selected the 5 ImageIQs that stumped the most people this year. Have another go: What’s your diagnosis?
Note: If you would like more information on any of the ImageIQs, links to the full original cases are provided in the References section, on the last page.
#1. Victual Avoidance
A 25-year-old man presents with dysphagia to solids that has progressed over the past year. He now avoids breads, meats, and other foods he fears may lodge in his esophagus. Liquids present no problem. PMH includes eczema and seasonal allergies. Upper endoscopy image is shown above.