Quick Case #05
the case. a 42 year old male presents via ambulance with chest pain following an motor vehicle accident.
Category Cardiology
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…
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.
a game changer…
The case. A 76 year old female presents to ED after being repeated assaulted by her aggressive, demented husband, including punches, kicks and attempted strangulation. She has a past medical history of hypertension & GORD and takes telmisartan, amlodipine &…
off the pace…
An 80 year old male is bought to your ED via ambulance following a syncopal episode. He reports sitting on a church pew, when he apparently collapsed without prior warning
eh-vee-arrr
The Case. A 38 year old male presents to your ED with left sided chest heaviness which radiates to his left shoulder & down the arm. He has associated dyspnoea, nausea & vomiting. He looks unwell. He underwent a CT-Coronary…
a troublesome tachycardia
The Case. An 11 year old boy is bought to ED by his mother on a busy weekday evening. Mum reports that he has been ‘a little bit off’ over the past 24 hours, in particular he’s not keeping down…
slowly, slowly…
Case: 76 year old female, presents with lightheadedness and lethargy. She is complaining of mid-scapular pain & is syncopal at triage. She has cold hands & clammy skin. Systolic BP 70 mmHg. Crackles to mid-zones of her chest. Distended JVP.…
more than man-flu (part2)…
Here is the follow-up to the story of our 19 year old febrile patient….. The case continues… His CXR demonstrates the following …. Clear lung fields No pneumonia No CCF is that a ‘globular heart’ ?? This is his ECG……
supply & demand…
Case: 74 year old female is placed in the acute-area of our ED with a complaint of retrosternal chest tightness at approximately 9am. Her symptoms sound very typical for ACS. She looks clammy and pale. My colleague has placed her…
broad, fast & regular…
There are some things in medicine that I feel require a standardized approach for rapid diagnosis & management, especially in the face of an unstable patient & you have a little sweat on your brow. The following are two somewhat…