a covert combination…
the case. 72 year old male presents to your Emergency Department with a 4-5 hour history of palpitations. He appears well and has no associated symptoms.
the long way round…
the case. a 52 year old male presents to your Emergency Department with more than 24 hours of typical sounding, retrosternal chest pain.
faster than most…
the case. a 34 year old man presents to ED with chest pain & palpitations. His symptoms came on suddenly whilst doing light exercises at the gym.
having a dig…
the case. 87 year old female presents to your ED following an intentional overdose. She tells you that approximately 4 hours ago she ingested ‘most of [her] digoxin tablets’ that she bought earlier in the afternoon.
peas in a pod….
the case. an 81 year old male is referred by his GP for ongoing tachycardia & progressive hypotension. He has been gradually taken off his antihypertensives (telmisartan & prazosin) over the past 2-3 weeks as his BP has consistently been 80-90mmHg…
Quick Case #06
the case. 76 year old male presents to ED with 2 hours of retrosternal chest pain. He is clammy, diaphoretic & looks miserable.
to the bedside…
the case. a 34 year old female presents to ED with palpitations and chest pain. You are handed her ECG prior to reviewing or speaking to the patient….
Quick Case #05
the case. a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.
catching the culprit…
the case. a 32 year old male presents to ED with a 4 hour history of retrosternal chest pain. He has had the pain since midnight and it “just isn’t going away”. This is his ECG…
Quick Case #04
the case. An 85 year old female is bought to ED with right hip pain. She was found outside after unfortunately spending the night on the ground. This is her ECG.
palpitations & presyncope…
the case. A 54 year old female presents to ED with an ‘odd sensation’ in her chest. This has been occurring intermittently for 2 months but has now increased in frequency & severity. She reports 3 episodes earlier today associated…
Quick Case #03
the case. 42 year old female presents to ED with a 4-5 day history of central chest tightness. She has poorly controlled type 2-diabetes.