Author: nchristopher

Rhythm Nation: Case 5 – Answer!

Thanks Dr. Grock and Dr. Freedman for your responses.  Sorry for the delay in posting the answer.  Before we do get to the answer… a little more of the history: Our patient was is an 18yo F who’s only past medical…

X-ray Vision: The Case of AMS – Answer

Thanks for all the responses and sorry for the delay in posting this answer.  Ritchie hit it right on the head.  The patient was diagnosed with West Nile Encephalitis.  The WNV PCR eventually came back positive.  While the diagnosis was…

Rhythm Nation: Case 5

    This 18yo F presented with one episode of chest pain which lasted a 2-3 minutes, was left sided, sharp and 8/10.  Vitals in the ED were BP 112/71 HR 106, RR 18, T98.9.  The above EKG was obtained…

X-ray Vision: The Case of AMS

This case starts with a pretty common presentation to the emergency department:  AMS.  As with most cases of AMS in the ED, the patient had a CT head done during his ED course.  However, our patient also had an MRI…

Case 4 – Answer

First of all thanks to those of you who interpreted this EKG.  It’s a difficult one to begin with and to do it without a history is even harder. So lets fill in some of the blanks about this patient’s…

X-ray Vision: Case 2 – Answer!

So to recap… our case was that of a 44yo F presenting from St. Vincents with fever, AMS and abdominal pain.  Further pertinent negatives ans positives that were obtained through your questions were the following: No hx of DVT, abnormal rhythm, IVDU,…