.patient-dialogue:before, .ptpic-crop, .ptpic-crop, .case-file .caseimg-crop, .patientimg:before {
    background: url('images/mrhughes.jpg') no-repeat 0px 0px;
}

.patient-dialogue p:before {
    content: 'Mr. Wentworth: ';
    color: #2f5e88;
    font-weight: bold;
}
.ptcase_header:before {
    content: 'Dr. Wentworth';
}
.patientname:after {
    content: 'Peter Wentworth';
}