What, besides large anterior OMI, is so ominous about this ECG?
This late middle-aged male had sudden onset of chest pressure. Here is the prehospital ECG: The rhythm is a bit hard to discern. It appears…
A Middle-Aged Woman with 3 days of Chest pain and Posterolateral Injury on the ECG
A middle-aged woman called 911 for burning chest pain and dyspnea. Here is her prehospital ECG: There is clearly acute myocardial injury…
Chest Tightness and Asthma in a Young Man
A male in his 20’s presented with chest tightness and dyspnea. He had wheezing. An ECG was recorded: There is sinus…
One reason we get ECGs in stroke patients
This patient presented with a sudden right sided weakness and ophthalmoplegia that was resolving upon presentation to the ED. Here is his ED…
Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis?
A middle-aged woman had intermittent angina for 48 hours, then onset of constant, crushing chest pain for 1.5 hours when she called 911.…
A 30 year old with Chest Pain, Anterior ST Elevation, Terminal QRS distortion, and a High Troponin
This was contributed by Brooks Walsh, who has contributed many interesting cases and articles to this blog. I edited and added…
Chest pain in an Elderly Woman
This case was sent by one of our great FOAM colleagues, Salim Rezaie of REBEL EM!! “A 67 y/o female with PMH of Type 2 DM, HTN,…
A Pathognomonic ECG. What is the Diagnosis?
An elderly patient was found down in her apartment with altered mental status. A prehospital ECG was recorded and was identical to this…
Nausea and Vomiting. This ECG is loaded with information.
A middle-aged diabetic dialysis patient presented with 24 hours of nausea and vomiting associated with ~6 pound weight loss. Patient…
“I have food poisoning”
This patient in her 40’s with type 1 DM presented with 16 hours of vomiting (x 10) and diarrhea (liquid/loose x 10). She came to…