11/19/14 EM-CCM Summary: Neuromuscular disease and hypoventilation. Presenter: Dana Muhlfelder Summary: Sally Bogoch THE CASE: In a fictitious urban hospital a 28-year-old female, no pmhx, recently dx with “asthma”, presents with exertional shortness of breath for three months and an…
Excellent answer by Dr. Kylie Birnbaum! This patient indeed has a supraventricular tachycardia (SVT), and indeed was found to have fast-slow atrioventricular nodal re-entrant tachycardia (AVNRT) on later electrophysiologic study. In the ED at Janus General, however, vagal maneuvers failed…
35 year old male with MR presents from a monitored facility for possible ingestion of a foreign body. Per staff who are with the patient, the ingestion took place a few hours prior to arrival. Since the incident, the patient…
A 25 y/o smoker presents to the ED with SOB and tells you her asthma is acting up. You think to yourself, “I love the crashing asthma patient!” Within 5 minutes bipap is bedside, solumedrol is given and somehow she’s…
80 yo F presents with intermittent palpitations associated with shortness of breath but is otherwise stable. What is your differential for this rhythm? How do you treat it? Best answer by Friday will win!
