Right Axis Deviation

Results:
Weekly Workout June 19, 2023
STAT ECG Diagnoses: right ventricular hypertrophy criteria, electrical alternans vs. respiratory variation, and much more

An ill appearing patient arrives to the emergency department in extremis and history is limited. The following ECG is obtained:

Weekly Workout March 13, 2023
UMEM cases that highlight the right way to think about new right axis deviation and much more!

An 87-year-old man is brought to the emergency department by EMS with acute chest pain. The following ECG is obtained on arrival:

Weekly Workout February 20, 2023
Must know ECGs you will see on board exams and have to recognize in real life

A 34-year-old man is brought to the emergency department with delirium and agitation. The following ECG is obtained:

Weekly Workout November 20, 2022
Potpourri of cases: generic polymorphic ventricular tachycardia vs. torsades de pointes, regularized atrial fibrillation, and much more!

A 60-year-old man presents to the emergency department with generalized weakness and intermittent palpitations. Vital signs are normal on arrival. The following ECG is obtained during an episode of palpitations:

Weekly Workout October 9, 2022
Bradydysrhythmia: An irregular rhythm with grouped or clumped beats

 A 75-year-old woman presents to the emergency department with palpitations and near syncope. She is noted to be bradycardic with an irregular rhythm. The following ECG is obtained on arrival:

Weekly Workout September 25, 2022
Bradydysrhythmia: when is it actually considered a complete heart block?

A 52-year-old man presents to the emergency department with chest pain associated with nausea and diaphoresis. The following ECG is obtained on arrival:

Weekly Workout September 18, 2022
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)

An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…

Weekly Workout April 26, 2021
STAT ECG Diagnoses: the right way to think about right axis deviation

A 91-year-old woman with PMHx of HTN, aortic stenosis, and dementia is brought to the ED by EMS after a syncopal episode when walking to the bathroom. Vital signs are…

Weekly Workout January 18, 2021
Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department

A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was…

Weekly Workout April 6, 2020
ECG Basics and Fundamentals: right axis deviation differential and ST segment elevation in rightward leads

A 48-year-old woman presents to the ED with chest pain and near syncope. The following ECG is obtained:

Weekly Workout February 24, 2020
STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history

A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only…

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 April 15, 2019
ECG Basics & Fundamentals: ECG findings of dextrocardia

A 22-year-old woman presents to the emergency department with atypical chest pain. Her vital signs are normal. The following ECG is obtained:

Weekly Workout April 1, 2019
STAT ECG Diagnoses: the most rapid killer in diabetic ketoacidosis (DKA)

A 38-year-old male presents to the emergency department with intermittent chest pain for a few weeks. He has insulin dependent diabetes and a history of noncompliance with medications. He looks…

Weekly Workout February 11, 2019
STAT ECG Diagnoses: the ECG findings in sodium channel blocker toxicity

A father calls an ambulance for his 16-year-old daughter who is not feeling well. She has been listless and having palpitations. She is found to be tachycardic with a normal…

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 January 1, 2018
Differential Diagnoses: wide QRS, right axis deviation, tall R wave in V1

HPI: A 76-year-old woman presents to the ED with dyspnea and a syncopal episode. History is limited because the patient is listless and confused. The following ECG was obtained: Case…

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