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Based on a blend of the number of podcast downloads, webpage views, social media engagement, number of positive emails and comments that I received, and my own favs, I'm pleased to bring you the EM Cases Best of 2019 Top 10. The post EM Cases Best of 2019: Top 10 appeared first on Emergency Medicine Cases.
It was the EBM rumble down under for SMACC 2019. You can see the original SGEM […] The post SGEM Xtra: The REBEL vs. The SKEPTIC at SMACC 2019 first appeared on The Skeptics Guide to Emergency Medicine. It was the EBM rumble down under for SMACC 2019. You can see the original SGEM Xtra post from March 2019.
The following ECG is from a 69 year old man who presented with fever and delirium. He has a background of renal failure, T2DM and cognitive impairment.
The following ECG is taken from a 82 year old non-English speaking lady whose family states she woke feeling unwell and with a funny feeling in her left arm:
The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.
You are shown an ECG of a 25 years of age Chinese female at 0200 hours on a saturday morning complaining of chest discomfort. Due to the department being busy a nurse has done her blood test prior…
The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…
An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.
Following is an ECG of a 63 years of age man complaining of a 45 minute duration of a chest discomfort. You find him in mild discomfort and apart for being mildly hypertensive all his other observa…
You are asked to review an ECG of a 24 years of age man complaining of a two day history of a mild intermittent non cardiac sounding chest pain. En route you the noted on his CXR showed cardiomegal…
Following is an ECG of a 52 years of age man with a 3 day hx of intermittent chest discomfort. He is currently asymptomatic with a BP 150/95 mmHg. Describe the ECG abnormalities and what would you …
61 years of age lady presented with an acute shortness of breath whilst walking her dog. She denied any chest pain nor any pre-syncope. She looked well from the end of the bed and at clinical exami…
58 years of age lady presented with being generally unwell for 2 days. She has had a renal transplant and at clinical examination was noted to be tachycardic , normotensive and febrile at 38.3
The following ECG is shown to you at 0130 hours of a monday morning on a 49 years of man struggling with severe crushing central chest heaviness for 6 hours. He is unwell and clammy with stable hem…
You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…
The following is an ECG of an 88 years of age man complaining of a lack of energy for the past 3 days. The nurse has mentioned that his initial observation are within normal limits with a blood pre…
You are reviewing the ECG of an 82 year old man who has had an episode of syncope after a herald of spinning and dizzyness. He has had similar symptoms for the last 4 days, particularly when gettin…
Following ECG was obtained from a 24 years of age man complaining of a week history of intermittent chest pain. He is clinically well and his haemodynamics are all within normal limits. Describe t…
You are shown and ECG on a 54 years of age male patient you have yet to review with decreased exercise tolerance with intermittent dizziness. Describe and discuss the abnormalities.
The following ECG is taken from a 82 year old non-English speaking lady whose family states she woke feeling unwell and with a funny feeling in her left arm:
The ECG below is taken from a man who has been referred by his GP after presenting symptom-free for a health check following an electric shock at work in a domestic current.
The ECG below is taken from an 83 year old man with a seizure history for the past 8 years. He presents after two 10 minute generalised tonic-conic seizures at home 10 days after self ceasing his C…
An 86 year old diabetic man presents to ED with a 1 month history of diarrhoea and fatigue and intermittent upper abdominal pain over the last week. His ECG is as below.
You are reviewing a 43 yr old hypertensive patient who has been referred by their GP after presenting with central chest pain (currently pain free.) They have provided previous ECGs from today and …
The ECG below is taken from an 84 year old Nursing Home resident who complained of chest pain after a seated syncope. On examination his observations are within normal limits and he has mechanical …
You see a 77 year old diabetic lady with a one month history of SOBOE on a background of Rheumatic fever as a child. On examination she has a pan systolic murmur.
You see a 26 year old lady who has presented concerned that her lap band may have slipped. She had one vomit post eating last night and then woke with palpitations at 4am with associated shortness …
You are seeing a 52 year old man who has had an MI 14 years ago secondary to a spontaneous RCA dissection. He presented late (with Q waves seen on ECG) and so was treated medically. 8 years later h…
A 32 year old man has presented after developing left sided chest pain whilst shoveling in the garden. He feels sweaty and dizzy. He is a FIFO worker with no medical history.
You are reviewing a 73 year old patient who has presented after several days of chest pain. Their observations are within normal limits and their ECG is as follows:
Following is an ECG of a 25 years old man with a four day history of left sided chest pain and its 0400 hours in the morning. He’s in a mild discomfort but looks well from the end of the bed and hi…
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