Sudden Left Trapezius Pain and Syncope
An otherwise healthy middle aged smoker complained of sudden left trapezius pain. He then began to fell very dizzy. He also had…
Dynamic T-wave inversion (apparent Wellens’ waves), all troponins negative: Unstable Angina
This middle-aged woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Long QT: Do not trust the computerized QT interval when the QT is long
A middle-aged male with h/o DM was found down. He was hypoglycemic (mild, 45 mg/dl) and had pneumonia with hypoxia. He had this…
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound
A 30 year old collapsed after complaining of chest pain intermittently. He was unconscious. First responders thought they palpated…
Acute Cardiogenic Shock: What is the Diagnosis?
Click on this link of a recently posted a similar case with great ultrasound images. Let’s see how much you learned and remember.…
A Picture of Subendocardial Ischemia
This case shows a CT image of subendocardial ischemia. The image is shown at the bottom after the case presentation. This patient…
An 8 year old with diarrhea, abdominal pain, and syncope
This case was sent by: Maria Perez Emergency Registrar Monash Medical Centre Melbourne She obtained permission from the family to identify the…
A woman in her 50s with reproducible chest pain (seems to be chest wall pain)
This woman had recently undergone rotator cuff surgery and presented with L shoulder and chest pain. The pain was very reproducible with…
True Positive ST elevation in aVL vs. False Positive ST elevation in aVL
Case 1. A woman in her 60s with no prior history of CAD presented with 3 hours of sharp, centrally located chest pain with radiation to…
Inferior and Posterior STEMI. What else?
A male in his late 30’s to early 40’s presented with 24 hours of intermittent typical chest pain. The following ECG was…