Differential Diagnoses
Latest
Differential Diagnoses: T wave inversions and a discussion about Wellens syndrome
A 37-year-old male presents to the ED with a brief episode of sharp epigastric pain followed by ongoing nausea and diaphoresis. Exam is otherwise non-diagnostic. The following ECG is obtained…
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:
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…
Differential Diagnoses: diffuse ST segment elevation without reciprocal ST segment depression
An 18-year-old female with no known significant past medical history presents to the ED for acute chest pain. The following ECG is obtained:
Differential Diagnoses: T wave inversions and prolonged QTc interval
A 53-year-old woman with PMHx of HTN and DM presents with atypical chest pain. She is noted to have a completely normal baseline ECG. The following ECG is obtained:
ECG Basics and Fundamentals: A stepwise approach to ECG interpretation and how to use differential diagnoses to make critical clinical diagnoses
A 40-year-old man presents to the ED with altered mental status and appears critically ill. The following ECG is obtained:
Differential Diagnoses: narrow complex regular tachycardias
A 64-year-old man presents with palpitations. The following ECG is obtained:
Differential Diagnoses: large T waves and prolonged QT intervals
A 40-year-old man presents with palpitations and malaise. Vital signs are within normal limits with a normal temperature. The following ECG is obtained:
STAT ECG Diagnoses: how to use ECG differentials to clinc the diagnosis in patients who are altered and can not provide a reliable history
A 50-year-old woman is found unconscious by a family member this morning. She was last known normal yesterday afternoon. On arrival to the ED she is minimally responsive and only…
STAT ECG Diagnoses: a patient transferred for suspected STEMI, what other etiologies could be causing this ST segment elevation?
A 24-year-old male with past medical history of paraplegia from severe multiple sclerosis is transferred from a nursing home for suspected STEMI. Transfer documentation reports a history of pleuritic chest…
Differential Diagnoses: factors that rule in STEMI in the evaluation of diffuse ST segment elevation
A 60-year-old male presents to the ED with chest pain and mild dyspnea. The following ECG is obtained:
Differential Diagnoses: new right axis deviation and ST segment elevation
A 27-year-old male with no PMHx is brought in by ambulance for right shoulder pain, nausea, and generalized weakness. He is confused with a blood pressure of 60/40. The following…
Differential Diagnoses: interval abnormalities and the importance of not trusting the computer ECG interpretation
A 61-year-old woman presents from a nursing home for G-tube replacement. She reports lightheadedness and appears dehydrated. The following ECG is obtained:
Differential Diagnoses: poor R wave progression and attention to T wave abnormalities
A 55-year-old woman presents with substernal chest pressure radiating to the left upper extremity, dyspnea, and nausea. She has a past medical history of HTN, DM, HLD, and is a…
Differential Diagnoses: terminal QRS distortion in the differentiation of STEMI from early repolarization
A 43-year-old male presents to the emergency department with chest pain. The following ECG is obtained:
Bradydysrhythmias: a differential for too many P waves and a lesson in how to break down difficult rhythms
An 81-year-old female presents to the ED with lightheadedness and “funny heart beats”. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is…
Differential Diagnoses: the many causes of T wave inversions
A 19-year-old female presents to the ED with atypical chest pain. She has no associated dyspnea and is noted to have normal vital signs. The following ECG is obtained:
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…
Differential Diagnoses: ST segment elevation in aVR
A 53-year-old man presents to the emergency department with syncope. The patient reports abrupt onset of severe, sharp chest/thoracic pain prior to the syncopal episode. The following ECG was obtained…
Differential Diagnoses: a triad of long QT interval, PVCs, & ST segment depression
A 56-year-old woman presents to a busy ED dehydrated with acute gastroenteritis. She is placed in a hallway bed and treated with IV fluids and ondansetron. On reassessment the patient…
Free Content
Jump on our email list for free tips and insights delivered to your inbox monthly. No spam - just quick pearls and ECG education.
Categories
- No categories
© 2026 ECG Weekly. All rights reserved. | Terms of Use | Privacy Policy
Powered by the member(dev) platform
Loading...