A 75 year-old male with a past medical history of coronary artery disease, hypertension, and hyperlipidemia presents to the Emergency Department via EMS for concern of altered mental status. His wife is present at the bedside and states that he been becoming progressively more confused over the past 2 days. Prior to this episode, he …
26 year old male of filipino descent presents with diffuse motor weakness that was present upon waking this morning at 0400. Patient reports he was of normal health and asymptomatic last night and in the preceding days. Patient denied recent infectious symptoms such as diarrhea, cough, congestion, fevers, chills, urinary changes, rashes or insect bites. …
Continue reading Case of the Month: The paralyzed 26 year old.
As ED doctors, we’re often handed EKGs every few minutes. Our minds initially will always go to ST elevations and possible myocardial infarctions. With this in mind however, what are the other, lesser seen variants that are equally as dangerous and also warrant immediate catheterization? Hyper-acute T waves Before starting to discuss STEMI equivalents, let’s …
http://momontheblock.com/ 26-year-old multiparous female approximately 25 weeks gravid presents to the Emergency Room with palpitations. Patient reports that this feels similar to an episode she had during her first pregnancy that resolved after 18 mg of Adenosine. Patient states she was watching television on the couch when symptoms began. Patient reports feeling some mild chest …
Continue reading Case of the Month: Management of Atrial Tachyarrhythmia in Pregnancy
Photo by Pixabay on Pexels.com It is important to develop a consistent method to read ECG's as an EM physician. This method should be thorough, but able to be completed rapidly. Without a structure, it is much more likely to miss a critical finding on the ECG. I have tried multiple different methods, each with …
A 56 y.o m with a hx of HTN and tobacco use presents for chest pain. The patient states that today while mowing his lawn he started getting midsternal chest pain. He has never had this before. It is not pleuritic or positional, and it radiates to his jaw and L arm. EMS arrived and …
A 54 y.o male with a history of CAD and stents in the past presents for CP. Per pt, for the last two days he has been having mid sternal exertional cp radiating down his left arm, relieved by rest. Tonight the cp came on without exertion and has been persistent since. It does not …
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