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…
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;…