Right Axis Deviation
Results:
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…
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…
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…
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,…
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…
Wide Complex Tachycardias: ventricular tachycardia (VT) mimics
HPI: A 71-year- old woman with PMHx of HTN and “irregular heart rhythm” presents to the ED with weakness, lightheadedness, and occasional palpitations. She does not know the name of her medications…
Differential Diagnoses: fever and altered mental status
A 23-year-old woman presents to the ED with altered mental status and agitated delirium. She is noted to be tachycardic and febrile to 107F. The following ECG is obtained:
Differential DIagnoses: right axis deviation, prolonged QT interval, and a wide QRS
A 46-year-old man with no known past medical history presents to the ED with recurrent witnessed seizures, actively seizing. The seizures are not responding to treatment with benzodiazepines. The following…
STAT ECG Diagnoses: must know ECG differentials in the evaluation of patients with altered mental status
A young woman presents to the ED unconscious with a GCS of 4. The following ECG was obtained during the initial evaluation:
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….
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…
Differential Diagnoses: right axis deviation in patients with syncope
HPI: A 49-year-old male with a history of chronic back pain presents to the ED with syncope. He describes 3 similar episodes over the past week with preceding dizziness. The…
2015 ECG Competition Answers (Part 2/2)
This week we review the answers to the last 6 cases from the UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red boxes…
Differential Diagnoses: the biggest reason we miss a diagnosis is that we make a diagnosis, and then stop looking
HPI: An unresponsive 45-year-old male is brought in to your ED by ambulance. His wife found him unconscious at home and called 911. History is otherwise limited. Case ECG
Differential Diagnoses: how to use ECG differentials to clinch the diagnosis in sick patients
HPI: 64-year-old male smoker with a Hx of HTN, DM, COPD presents with lightheadedness and chest tightness. He has had flu like symptoms for the past week, that have been…
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