Wide QRS

Weekly Workout July 24, 2023
Differential Diagnoses: must know causes of right axis deviation and wide QRS complexes

A 30-year-old man is pulled over by police for speeding. He begins feeling nauseous and has multiple episodes of vomiting. During transport to the emergency department by EMS he is…

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 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…

Weekly Workout October 2, 2017
Literature Review: Wolff-Parkinson-White syndrome with atrial fibrillation

A 50-year-old man is referred from clinic to the ED for chest tightness for the past 3 hours and a presumed new left bundle branch block. He is found to…

Weekly Workout March 13, 2016
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:

Weekly Workout July 27, 2015
ECG Basics & Fundamentals: a 5 step approach to ECG interpretation and how to think of differential diagnoses

HPI: A 70-year-old man presents with generalized malaise. He has a history of ESRD and has missed dialysis this week. The following ECG is obtained: Case ECG   Before watching…

Weekly Workout March 2, 2015
ECG Basics & Fundamentals: a systemactic approach to ECG interpretation

HPI:  A 78-year-old male presents to the ED complaining of generalized weakness. Case ECG

Weekly Workout February 23, 2015
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  

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