ST segment elevation

Results:
Weekly Workout February 12, 2024
Literature Review: ST segment elevation, but not in contiguous leads!

A 57-year-old woman presents with chest pain and dyspnea. She is hemodynamically stable and her exam is non-diagnostic. The following ECG is obtained:

Weekly Workout July 12, 2021
Differential Diagnoses: ST segment elevation and short QTc intervals in a patient with generalized weakness

A 45-year-old female presents to the ED with generalized weakness, malaise, joint pains, and confusion. The following ECG was 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 April 8, 2019
Differential Diagnoses: altered mental status and a short QT interval

A middle-aged adult presents to the emergency department with altered mental status. He was dropped off in the waiting room by family. He has no known medical history. The following…

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 March 18, 2019
The many causes of ST segment elevation in aVR and a discussion on the ECG findings in severe hypokalemia

A known local alcoholic presents to the emergency department with weakness. The patient has been laying on a mattress in a field for most of the past week. He says…

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 October 16, 2017
Differential Diagnoses: ST segment elevation in aVR

A 74-year-old man presents to the ED for chest pain with exertion for the past 2 hours.  He appears diaphoretic and acutely ill. The following ECG is obtained:

Weekly Workout September 18, 2017
Differential Diagnoses: how hypercalcemia mimics STEMI

A 62-year-old woman presents to the ED with altered mental status. She denies chest pain or dyspnea. The following ECG is obtained:

Weekly Workout August 1, 2016
ECG Basics & Fundamentals: A systematic approach to EGC interpretation and using differentials for ST segment elevation

A 61-year-old man presents to the ED with malaise, nausea and lightheadedness. The following ECG is obtained:

Weekly Workout January 10, 2016
ECG Basics & Fundamentals: using a systematic approach to identify the cause of ST segment elevation

A 49-year-old man presents to the ED with nausea, lightheadedness, arthralgias and malaise. He appears dehydrated but has an otherwise normal exam. The following ECG is obtained:

Weekly Workout February 2, 2015
ECG basics and fundamentals: Prehospital STEMI activations with a review of the literature

50-year-old woman with a PMHx of DM and obesity presents with dizziness and sub-acute back pain. She also reports myalgias and anorexia. She denies any associated chest pain, and is…

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