Biphasic T-waves

Weekly Workout December 24, 2018
Reverse Wellens Waves: not all biphasic T waves are indicative of ACS!

A 25-year-old woman presents to the emergency department with lightheadedness and palpitations for 1 week. Her symptoms worsened today with a near-syncopal episode. She is thin/frail and dehydrated in appearance….

Weekly Workout October 14, 2018
Differential Diagnoses: a triad of long QT interval, PVC’s, & ST segment depression

A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…

Weekly Workout July 10, 2017
Literature Review: does GERD provoke myocardial ischemia in patients with coronary artery disease?

A 55-year-old man presents to the ED with intermittent chest pain. He describes transient burning sensation that comes on only after eating. His pain does not radiate, and is not…

Weekly Workout December 3, 2016
Generalized weakness with biphasic T waves in the anterior leads

A young man presents to the ED with generalized weakness. The following ECG is obtained:

Weekly Workout February 9, 2015
Differential Diagnoses: long QTc interval

HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…

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