Tag: cardiology

Morning Report: 10/3/2014

Congratulations Dr. Adesina! and thanks for the Morning Report!   Management of Submassive (Intermediate Risk) PE   Massive PE (high risk): acute PE causing hemodynamic instability and hypotension, pulselessness, or profound bradycardia   Submassive PE (intermediate risk): hemodynamically stable PE…

Rhythm Nation September 2014 – Answer!

Truly excellent interpretation by Dr. Joey Freedman. This is indeed a patient with rapid atrial fibrillation with aberrantly conducted complexes and intermittent biventricular pacing. Whew! Think of atrial fibrillation with rapid ventricular response, but the ventricles are unable to respond…

Morning Report: 9/19/2014

Thanks to Dr. Grock for today’s Morning Report!   Case 1: 75 year old female with pmhx DVT no longer on Coumadin, recent radical mastectomy currently on chemo/rad for breast cancer presents after long flight with pleuritic chest pain and…

Rhythm Nation September 2014

Over at Janus General, where I’m on staff, there is a … 60 yo M with SOB: What is this rhythm and how do you treat it?     Best and most complete answer by 9/19/14 at noon will win!…

Rhythm Nation August 2014 Answer!

Rhythm Nation August 2014 Answer! Best and most thorough and most correct reading goes to… Dr. Freedman! The major clue to this case is the recent or evolving STEMI. In the era of thrombolysis for STEMI, the Accelerated Idioventricular Rhythm…

Rhythm Nation August 2014

70 yo M with pmh DM and HTN presents with chest pain and a troponin of 41. STEMI code activated and patient taken to cath lab. Here is his EKG upon arrival: 1. What is this rhythm? 2. What is the…

Morning Report: 7/29/2014

Thanks to Dr. Freedman for today’s Morning Report!   Digoxin Toxicity Background: Naturally occurring chemical compounds Na+/ATPase Channel blockers Prone to poisoning Large volume of distribution Long half-life, ~36 hours Narrow therapeutic window, 0.6 – 1.3 ng/mL Digoxin: An Old…

Rhythm Nation July 2014 Answer!

Congratulations to our winner with the most complete answer: Dan Zeccola! Julie and Nathan both correctly identified parts of the answer. Well done all! Our patient was having a Spontaneous Coronary Artery Dissection (SCAD) in her mid-LAD. To answer the…