#patient-guides img {             
    width: 220px;                 
    padding-bottom: 10px;         
    border-bottom: 1px solid gray;
    opacity: .7;                  
}                                 
                                  
#patient-guides p {               
    color: #2e90be;               
}                                 
                                  
#patient-guides a:hover > p {     
    color: #00AEFF;               
}                                 
                                  
#patient-guides a:hover > img {   
    opacity: 1;                   
}