Tag: cardiology

Morning Report: 4/3/2015

Dr. Grock presents today’s Morning Report!   Case: 32 F 18 wks by LMP presents with chest pain: sharp, non-exertional, 7/10, mildly decreased ET, bilat LE edema. VS HR 102, BP 130/74, RR 20, Temp 99.8 oral, O2sat 98% on RA.  …

Rhythm Nation March 2015 – Answer!

Rhythm Nation March 2015 – Answer!   Congratulations to VTACHomas for being first! Excellent discussion from JFreedman and Eschnitz. This is a complicated ECG! Let’s first look at the option of ventricular bigeminy. Ventricular bigeminy has recurring premature ventricular contractions…

Morning Report: 3/31/2015

Thanks to Dr. Kincade for today’s Morning Report!   Wellens Syndrome   Pattern of inverted or biphasic T waves in precordial leads that are specific for critical LAD stenosis Critical stenosis LAD High risk of anterior MI w/o medical tx:…

Rhythm Nation March 2015

26 yo M pmh multiple episodes of syncope as child p/w anxiety symptoms for months. No meds or illicits. His father died at age 39. He has the following dysrhythmia:     Questions: What is this rhythm? What is your…

Morning Report: 2/12/2015

Thanks to Dr. Lewis for today’s Morning Report!   Congestive Heart Failure: Acute Pulmonary Edema   Goal: (1) Preload Reduction (2) Afterload Reduction (3) Inotropic Support   Nitroglycerin short-acting, rapid onset systemic venous and arterial dilator – decreases MAP by…

Rhythm Nation December 2014 – Answer!

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…