Differential Diagnoses

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Interesting Cases from UMMC, Part I

A 63-year-old man presents to the emergency department with acute chest pain and an episode of syncope. The following ECG is obtained, and the cath lab is activated for suspected…

Must know ECGs and differentials in patients with chest pain or shortness of breath

A 63-year-old woman is brought to the emergency department by EMS for chest pain and shortness of breath. The following ECG was obtained:

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…

Differential Diagnoses: poor R wave progression, prolonged QT intervals, and much more

A 53-year-old woman presents to the emergency department with shortness of breath. The following ECG is obtained:

Hyperacute T waves and serial ECGs in early ACS, AV blocks, and more on sustained vs. nonsustained ventricular tachycardia

An 80-year-old man presents to the emergency department after an episode of syncope. The following ECG is obtained:

Differential Diagnoses: the many causes of T wave inversions in the anteroseptal leads and how to differentiate them

A 37-year-old woman presents with sharp musculoskeletal chest pain associated with cough. She reports symptoms of an upper respiratory tract infection over the past 2 days. The following ECG is…

Differential Diagnoses: killer causes of T wave inversions that you gotta know!

A 48-year-old man presents to the emergency department with chest pain and shortness of breath. The following ECG is obtained on arrival:

STAT ECG Diagnoses: differential diagnoses for low voltage QRS complexes and ventricular arrhythmias in patients with left ventricular assist devices (LVADs)

An 82-year-old man is brought to the emergency department with confusion and decreased level of consciousness. He is noted to be hypotensive, bradycardic, hypothermic, and hypoglycemic. The following ECG is…

Differential Diagnoses: what you gotta know about regular wide complex tachycardias

A 72-year-old woman is brought into the emergency department by family for confusion. She has a history of abdominal hernia repair with subsequent complications, including an exploratory laparotomy for an…

Differential Diagnoses: AV blocks, tachyarrhythmias, and what you need to look for on the ECG of every patient with syncope

A 36-year-old woman is brought into the emergency department after an episode of syncope. She reports palpitations prior to the episode but is otherwise asymptomatic on arrival. Vital signs are…

Differential Diagnoses: narrow complex irregular tachycardia, short QTc intervals, ST segment elevation in aVR, and so much more!

An 89-year-old woman is brought into the emergency department with generalized weakness and dizziness. She is noted to be bradycardic at triage. The following ECG is obtained with no prior…

Differential DIagnoses: AV blocks, prolonged QTc intervals, T wave inversions, and more!

A 50-year-old woman is brought into the emergency department unresponsive. History is otherwise limited. The following ECG is obtained with no prior ECGs available for comparison.

STAT ECG Diagnoses: review of the causes of T wave inversions and detailed explanation of Wellens syndrome

A young African American male who appears to be in his mid-20s is brought into the ED for decreased level of consciousness. There is some concern by EMS for suspected…

Differential Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB), prolonged QT intervals, and so much more!

A 64-year-old man with history of pulmonary embolism (on apixaban) presents to the ED with shortness of breath and lower extremity edema. He also reports mild headache and is noted…

Differential Diagnoses: T wave inversions in a young woman with chest discomfort

A 25-year-old woman with PMHx of asthma is brought to the ED with shortness of breath and chest aching. Exam is notable for mild wheezing. The following ECG is obtained…

Differential Diagnoses: ST segment elevation and short QTc interval

A 40-year-old male is brought into the ED with vomiting, body aches, chest discomfort and fatigue. The following ECG is obtained:

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