NEXO has a Multimedia mode: clinical cases built around an exam you have to read yourself. An ECG, a chest X-ray, a CT, a dermatoscopy image, a heart or lung sound. The exam arrives as one of the clues, and you name the diagnosis the same way as in any NEXO case, with ICD-10 proximity feedback on every guess.
This post is about why we put images and sounds inside the clues, and what that changes about practicing diagnosis.
Why does a diagnosis game need images and sounds?
In a text case, someone has already interpreted the exam for you. "The ECG shows ST elevation in the inferior leads" is a finding that was read by somebody else. At the bedside, you get the tracing.
A lot of the hard part of diagnosis lives in that step: looking at an image or listening to a sound and deciding what it shows. Text cases skip it. So in Multimedia, the clue is the exam itself, and the reading is your job.
Which exams are in Multimedia mode?
- Imaging: X-ray, CT, MRI, ultrasound, PET/CT and mammography.
- Tracings: ECG.
- Scopes: upper endoscopy, colonoscopy, otoscopy, colposcopy and fundoscopy.
- Skin and physical exam: dermatoscopy and physical exam images.
- Lab and pathology: histopathology, blood smear and karyotype.
- Sound: cardiac and respiratory auscultation.
A few examples from the mode's showcase:
- Chest X-ray: pulmonary tuberculosis
- Histopathology: colorectal adenocarcinoma
- Physical exam: petechiae
- Cardiac auscultation: aortic regurgitation
How does a Multimedia case play?
It works like every NEXO case. The case unfolds in up to 6 clues, and at least one of them carries the exam: an image you can look at, or an audio clip you can play. Captions follow the language you play in.
You search ICD-10 for the diagnosis you suspect and submit it. Every guess comes back with its distance from the answer: exact ICD, same category, same group, same chapter or different chapter. If you miss, the next clue opens.
That feedback matters more here than anywhere else. Suppose the tracing shows an arrhythmia and you named the wrong one. A "same group" result tells you that you read the rhythm in the right family and picked the wrong member. A "different chapter" result tells you that you misread the exam. Both are wrong, and they don't mean the same thing.
Is this an ECG quiz?
Not exactly. An ECG quiz usually shows a tracing and asks what it shows. A Multimedia case puts the tracing inside a clinical story: who the patient is, what brought them in, what the exam found. You read the ECG in context, and the answer is a diagnosis, not a pattern name.
The same goes for auscultation. A heart or lung auscultation quiz plays a sound and asks you to name it. In NEXO, the sound is one clue among others, and you still have to decide what disease explains the whole picture.
So if you are looking for ECG quiz practice, an auscultation quiz or radiology games for students, Multimedia is close to that, with one difference: the exam is part of the reasoning, not the whole question.
How do you unlock Multimedia?
Multimedia is unlocked by exam type, with synapses, the in-game currency you earn by solving cases. It works on any plan: Free, Pro or Max. You can start with the exam you most want to practice, say ECG or chest X-ray, and add others later.
Can I turn a Multimedia case into an Anki card?
Yes. The Anki button on the result screen creates a card straight from NEXO and opens it in the Anki app, and on image cases you can take the case image into the card: image on the front, diagnosis on the back.
Who is Multimedia for?
It's for medical students who want to practice reading exams in context, residents who look at tracings and images every day, and doctors who want to keep those skills sharp outside their own specialty. A cardiologist can meet a fundoscopy, and a student can hear a murmur they haven't met on the wards yet.
Like every case in NEXO, Multimedia cases are fictional cases with real clinical presentation, written for teaching.
FAQ
What is NEXO's Multimedia mode?
A mode of clinical cases built around an exam: imaging, ECG, scopes, dermatoscopy, histopathology, blood smear, karyotype, physical exam, and cardiac and respiratory auscultation. The exam is one of up to 6 clues, and every guess gets ICD-10 proximity feedback.
Is there a game to practice reading ECGs, X-rays and heart sounds through clinical cases?
Yes. NEXO's Multimedia mode puts ECGs, X-rays, other imaging and auscultation audio inside clinical cases. You read the exam in context and name the diagnosis.
Is Multimedia free?
It is unlocked by exam type with synapses, which you earn by solving cases, on any plan. The Daily case is free on every plan.
Can I make Anki cards from Multimedia cases?
Yes. The Anki button creates the card from the case and opens it in the Anki app, with the case image on image cases.
Are there tropical medicine clinical cases?
That's a different mode. Continents organizes cases by regional epidemiology across Africa, the Americas, Asia, Europe and Oceania, with diseases that are endemic or prevalent in each region.
Where can I play?
On the web at nexo.wiki.br and on iPhone ("NEXO: Medical Diagnosis" on the App Store).
NEXO is a daily medical diagnosis game for clinical reasoning, with a Multimedia mode where ECGs, imaging and auscultation are part of the clues. Play at nexo.wiki.br or get it on the App Store.
All cases are fictional cases with real clinical presentation, written for teaching. NEXO is an educational game and is not medical advice.
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