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…
Why is there ST depression in aVL in this case of Pericarditis?
This ECG is from an article in the New England Journal on pericarditis. Acute Pericarditis Martin M. LeWinter, M.D. N Engl J Med 2014;…
Is it early repol, pericarditis, or anterior STEMI?
This was sent to me by a reader: This patient was a 26y/o pulled over by Police when he complained of chest pain that radiated to left arm.…
Pericarditis? Or STEMI? The difference can be fatal.
This was sent by a reader who wishes to remain anonymous. Details are at a bare minimum, but it remains instructive. An elderly patient…
Subacute STEMI. Should the patient go for emergent PCI, or can he wait until the next day?
This was sent by a very good medical student, who had a very good question. He wishes to remain anonymous. A 56 y/o male presented with…