Hypocalcemia

Results:
Weekly Workout April 7, 2025
Unrecognized Killers in Emergency Electrocardiography, Part II

A 46-year-old woman presents after two syncopal episodes associated with palpitations. She reports feeling a rapid heart rate before losing consciousness. She has a few witnessed episodes in the emergency…

ECG STAT March 14, 2025
Hypocalcemia

Key Points Prolonged QTc as the Hallmark ECG Change: Hypocalcemia primarily lengthens the ST segment, leading to a prolonged QTc interval, increasing the risk of arrhythmias like Torsades de Pointes…

Weekly Workout December 9, 2024
Recent UMMC Cases (Part II)

A 55-year-old woman arrives at the emergency department with shortness of breath and is noted to be tachypneic. The following ECG is obtained:

Weekly Workout December 25, 2023
Christmas Case: Decoding the ECG of a 7-year-old boy with lightheadedness and palpitations

A 7-year-old boy visiting from London is brought into the emergency department for palpitations and lightheadedness. He has a history of prior long bone fractures, walks with crutches, and appears…

Weekly Workout July 10, 2023
Differential Diagnoses: poor R wave progression, prolonged QT intervals, and much more

A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:

Weekly Workout July 3, 2022
Differential Diagnoses: narrow complex irregular tachycardia, short QTc intervals, ST segment elevation in aVR, and so much more!

An 89-year-old woman is brought into the emergency department with generalized weakness and dizziness. She is noted to be bradycardic at triage. The following ECG is obtained with no prior…

Weekly Workout September 13, 2021
Differential Diagnoses: causes of prolonged QTc intervals with long ST segments

A 48-year-old male is brought in after being found unresponsive on the street. History is otherwise limited. The patient is afebrile and mildly bradycardic with a normal blood pressure. The…

Weekly Workout March 2, 2020
Differential Diagnoses: large T waves and prolonged QT intervals

A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:

Weekly Workout March 4, 2019
ECG Basics & Fundamentals: causes of prolonged ST segment

A 54-year-old woman presents to the emergency department with generalized weakness and nausea. She is tachycardic but otherwise has normal vital signs. The following ECG was obtained:

Weekly Workout December 11, 2016
Differential Diagnoses: the most likely causes of a prolonged QT interval

A 70-year-old woman presents to the ED with upper abdominal pain and vague paresthesias. The following ECG is obtained:

Weekly Workout August 8, 2016
Differential Diagnoses: QT interval considerations in patients with palpitations

A 54-year-old woman presents to the ED with lightheadedness, palpitations, muscle cramps, and upper extremity paresthesias. The following ECG is obtained:

Weekly Workout April 20, 2015
ECG cases from Baltimore City EMS

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