part man, part machine…
the case. 48 year old male is bought to the Emergency Department via ambulance following a syncopal episode. They are unable to obtain a blood pressure & describe ‘some sort of device coming out of his chest’ !!
Category Cardiology
chest pain and…
the case. a 41 year old male presents with sudden severe retrosternal chest pain radiating into the right flank. He also reports 3-4 weeks of intermittent chest tightness & that his doctor told him he “may need a heart valve…
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.
le(a)d astray…
the case. a 66 year old male is referred to your ED with recurrent bouts of dizziness over the past 2-3 weeks.
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…
sequential sinister sightings…
the case. a 68 year old male presents to ED with left-sided pleuritic chest pain & shortness of breath. He is tachycardic, but normotensive (142 systolic) with room air saturations of 93%.
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….
shock and awe…
the case. Previously well 64 year male presents to ED with 90 minutes of retrosternal chest pain after riding his bike. This is his ECG….
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…
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…