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Differential Diagnoses: long QTc interval
HPI: 32-year-old female with PMHx of hyperthyroidism (on carbimazole) presents with jaundice and intermittent palpitations. She has mild RUQ abdominal pain, but is otherwise well. Vitals: HR~100, BP-130/70, RR-18, afebrile. Exam:…
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…
Literature Review: do we still need to send CK-MBs as a cardiac biomarker?
Before watching this video, ask yourself these questions: Do we still need to send CK-MB’s when testing for ACS? How does conventional troponin (c-TN) compare to high sensitivity troponin (hs-TN)…
ECG Basics & Fundamentals: “just because electrocardiography is a basic skill in medicine, doesn’t mean that our ECG skills should be basic”
HPI: 43-year-old male presents with mid-sternal chest tightness. History is otherwise limited. Vitals: HR-110, otherwise normal vitals. Case ECG
Literature Review: age as a cardiac risk factor, what age is too young to have a myocardial infarction (MI)?
HPI: 25-year-old male smoker presents with left arm and upper back pain. He also has mild epigastric pain, associated with vomiting x 4 episodes. Vitals: HR-100, BP-110/70, RR-22, SpO2-100%, afebrile….
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…
ECG Basics & Fundamentals: A stepwise approach to ECG interpretation in patients with chest pain and clinical concern for an acute coronary syndrome (ACS) with pearls and pitfalls in obtaining chest pain histories
HPI: 61 year old male with significant cardiac risk factors presents with chest pain that that radiates down both arms. The pain is exertional and improves with rest. His pain…
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