This is a tough one and congratulations to the thorough responders. This month’s winner – Dr. Nico Grundmann! To start, TCA ingestion is the most common cause of Na-channel toxicity that we see in ECGs – but this patient was…
28 year old male presents to the ED complaining of severe coughing, shortness of breath and chest pain. Denies fever or chills. But persistently complains of the severe coughing during history taking. States that only the last two days he…
To read the articles prior to the summary, check out Here and Here We kicked of the new cycle of King County’s Critical Care Mini-Fellowship with the Pulmonary Module! To start: The ARDS Task Force paper from 2012 that revised the definition of…
Racial disparities in medical care exist. Did you know that you are more likely to receive a cardiac catheterization when you have chest pain with EKG abnormalities if you are white?[1] Or that if you are a minority, you are…
47 year-old female with past medical history of depression and supraventricular tachycardia, brought in by EMS with altered mental status and found with empty pill bottles nearby. What is the interpretation of this ECG? What likely happened to this…
Excellent responses from our residents. Winner of this month goes to SLiang for a more complete answer (and including the correct answer on the differential)! Congratulations. To review the case before proceeding, see here In short, young man with refractory seizures…