Emergency Physician special interest in Critical care, Retrieval Medicine and Toxicology #Traveller#FOAMED#Educator#Emergency physician#ECG#MD
Australia
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6 year old girl presenting to the ED with cough, when goes to sleep noted to be Brady ,ECG
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25 year old previously healthy presenting with episodic self resolving palpitations.
Looks anxious
Exam Normal , no past Hx or family Hx of cardiac diseases.
Would get cardio to have a look ?
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82-year-old female, unwell with cough for ~1 week. While walking to the bus she became dizzy, pale, and sweaty.
ECG one given Amiodarone by the paramedics
ECG two on arrival
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26 year old pregnant lady 26 weeks of POA with severe epigastric pain
-Acute pancreatitis confirmed with lipase 6000+
ECG as below ( no ECGs to compare )
Thoughts
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35 year old male coming with intermittent sharp episodic chest pain for the last 3 days duration
Trop 1000— peaking to 4000
ECHO normal
Angio mild muscular bridge on LAD
What do you make of the ECG and presumptive Dx?
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This patient had a Saddle PE needing urgent thrombolysis
Would suspect a PE looking at his ECG ?
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72 F
Acute onset chest pain
Value of serial ECGs (this change was over an hour )
Anything suspicious in the first ECG about what was coming?
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15 year old boy, acute onset palpitation with marginal BPs
BG left Hypo-plastic heart heart syndrome with 4 reversion surgeries
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This was a interesting case,
72 year old male recent CABG
12 hours history of progressive SOB with pleuritic type of chest pain
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53 year old female presenting central crushing chest pain ,has been on going for 12 hours now
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