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Category Medical Specialty

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.

the unveiling…

the case. a 64 year old female presents to your Emergency Department at midnight with acute severe abdominal pain.

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…

back with a vengeance…

the case. a 59 year old male presents to ED at 2am with a two week history of progressive back pain. He is worried because it is worsening in severity and now radiates to the left flank & left-lower quadrant.

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.

the steak is stuck…

the case. a 36 year old male presents to your ED at 2am with retrosternal pain and concern that last nights steak “got stuck and didn’t go down”. He has vomited once and now continues to spit out saliva as…