Managing Acute Right Ventricular Failure
A 50-year-old woman with a history of primary pulmonary hypertension with right ventricular dysfunction presents with one week of worsening abdominal pain. Sh
ECG Challenge - Feb 2017
Case: A 56-year-old female with a history of chronic kidney disease and hypertension presents with diffuse weakness and fatigue over the past 3 days. What are you seeing in t
Can't Miss Killer: The Role of Point-of-Care Ultrasound in Diagnosing Acute Aortic Dissection
A 69-year-old female with a history of hypertension and abdominal aortic aneurysm (AAA) presents to the e
ECG Challenge
Case. A 79-year-old male with a medical history of “some heart problems” presents to the emergency department with 3 days of fatigue and shortness of breath. This ECG is obtained in tri
Diagnosis and Treatment of Pneumomediastinum
A 22-year-old female arrives in your trauma bay in respiratory distress. She appears slightly anxious and is mildly tachypneic. Vital signs are as follows
Spontaneous Coronary Artery Dissection: Not Your Average Heart Attack
A 32-year-old female presents to the emergency department (ED) with a chief complaint of severe chest pain. The pain started 3 h
STEMI or no STEMI? A Challenging Diagnosis
A 26-year-old anxious, diaphoretic male presents with crushing mid-sternal chest pain that awakened him from sleep. Past medical history is unremarkable asi
ECG Challenge
Case. A 59-year-old male smoker with a history of hypertension, familial hyperlipidemia and insulin dependent diabetes presents with 2 hours of substernal chest pressure radiating to hi
ECG Challenge
Case. A 75-year-old male with a history of systolic congestive heart failure, hypertension, diabetes, hyperlipidemia, and chronic obstructive pulmonary disease presents with shortness o
ECG Challenge
Case A 76-year-old female with dementia and unknown cardiac history presents with chest pain and palpitations for 4 hours. Answer Atrial fibrillation preceded and followed by paced beat