Sudden onset of difficulty breathing, dry mouth, and stiff, swollen neck and throat. . . what diagnostic clue do the patient's socks offer, and what action should follow?
Brady Pregerson, MD
Simultaneous events can confuse a clinical picture. In this case, the ECG offers clues to an event that occurred during an episode of bronchitis.
She is in the ED for a fourth episode in 3 months. Before fainting she has palpitations and feels a sense of doom. Your ECG read?
A 34-year-old man with a history of HIV says family members are exaggerating his symptoms but that the headache and double vision are bothersome.
This 43-year-old man has known alcohol addiction but has never had post-withdrawal leg weakness. What tests would you order to Dx cause?
The chest pain is non-pleuritic, non-exertional, and is worse when the patient is supine. What is your read of the ECG?
Physical exam, including vitals, is normal although patient is tremulous. Blood sent for labs, so look for clues in the ECG.
Patient complains of pain and severe vision loss; initial impression, hyphema. Proceed with standard treatment, or not?
Fifty-year-old female w/ HTN, DM seen in ED for palpitations, near-syncope. Weak rapid pulse (210 bpm), BP 75/35 mmHg. What's your ECG read?
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