Pulmonary Embolism

Results:
Weekly Workout February 19, 2024
2024 EM Boards ECG Review Part I

A 61-year-old man with a history of atrial fibrillation presents to ABEM general hospital with lightheadedness and palpitations. He is tachycardic but otherwise has normal vital signs. The following ECG…

Weekly Workout March 27, 2023
Differential Diagnoses: killer causes of T wave inversions that you gotta know!

A 48-year-old man presents to the emergency department with chest pain and shortness of breath. The following ECG is obtained on arrival:

Weekly Workout December 12, 2022
Bradydysrhythmia: Does this patient need a permanent pacemaker?

A 63-year-old man presents to the emergency department with lightheadedness. He is noted to be bradycardic on arrival. The following ECG is obtained:

Weekly Workout September 6, 2021
STAT ECG Diagnoses: the differentials to consider when dealing with ST segment elevation and an impressive syndrome

A 61-year-old woman presents the ED for evaluation of a possible acute stroke. She woke up unable to walk due to bilateral lower extremity weakness and is now also feeling…

Weekly Workout August 30, 2021
Potpourri of cases: the most common ECG findings in pulmonary embolism, electrical alternans, and so much more!

A 72-year-old woman presents the ED with atypical chest pain. She is found to be mildly tachycardic. The following ECG is obtained:

Weekly Workout April 5, 2021
Differential Diagnoses: the many causes of ST segment elevation

A 69-year-old woman presents to the ED with chest pain and shortness of breath. The following ECG is obtained:

Weekly Workout February 17, 2020
STAT ECG Diagnoses: a patient transferred for suspected STEMI, what other etiologies could be causing this ST segment elevation?

 A 24-year-old male with past medical history of paraplegia from severe multiple sclerosis is transferred from a nursing home for suspected STEMI. Transfer documentation reports a history of pleuritic chest…

Weekly Workout July 1, 2019
2019 ECG Competition Answers (Part 2/3)

This week we review the answers to questions 7-11, & 13 from the 7th Annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…

Weekly Workout December 3, 2018
EMS ECGs: S1Q3T3, is it pathognomonic for acute pulmonary embolism

A 63-year-old woman presents to the emergency department with palpitations. The following ECG was obtained by EMS prior to arrival:

Weekly Workout April 23, 2018
Differential Diagnoses: when STEMIs can present with right axis deviation

HPI:  A 57-year-old with PMHx of HTN and cigarette smoking presents to the ED with chest pain and dyspnea. The following ECG is obtained: Case ECG Before watching this week’s…

Weekly Workout April 9, 2018
Differential Diagnoses: considerations in patients with right axis deviation (RAD) and T wave inversions

HPI: An 86-year-old male with PMHx of MI, HTN, HLD, COPD, and CVA presents with abrupt onset chest pain, dyspnea, and nausea. Pain started a few hours ago, is non-radiating,…

Weekly Workout October 23, 2017
Literature Review: aVR – The forgotten 12th lead

A 55-year-old man with PMHx of end stage renal disease on dialysis presents to the ED for fatigue and pain all over. He denies ischemic chest pain. The following ECG…

Weekly Workout June 12, 2017
Literature Review: ECG findings in PE associated with hemodynamic instability and increased morbidity and mortality

An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…

Weekly Workout June 5, 2017
2017 ECG Competition Answers (Part 2/2)

  This week we review the answers to questions 7-14 from the 5th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red box…

Weekly Workout May 22, 2017
ECG Basics and Fundamentals: must knows in patients with ST segment elevation in aVR

An 80-year-old man is brought to the ED by EMS for chest pain and dyspnea. He is found to be tachypneic, tachycardic, hypoxic, with a blood pressure of 105/50. The…

Weekly Workout February 1, 2016
Differential Diagnoses: is this ECG pattern consistent with ACS or is there something else it could be?

A 59-year-old male with a PMHx of a HTN and anxiety presents the ED for progressive dyspnea on exertion over the past few weeks. He denies pain and appears comfortable….

Weekly Workout October 11, 2015
EMS ECGs: common mimics of acute coronary syndrome (ACS) and STEMI

A 73-year-old male is being transported by EMS to your ED for acute onset chest pain. He has a systolic blood pressure of 80. A prehospital ECG is obtained and…

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