A young woman in her early 20s with syncope
Written by Pendell Meyers A 20 year old female with an episode of syncope was triage to my low acuity zone one morning. Her vitals were within…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…
A patient with chest pain and dynamic ST elevation
Written by Pendell Meyers A female in her late 40s presented with chest pain, waxing and waning over the past 24 hours. Her history included…
Watch what happens when “pericarditis” and morphine cloud your judgment
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD…
Chest Pain and Inferior ST Elevation.
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. He had…
High ST Elevation in a Patient with Acute Chest Pain
I was shown this ECG of a 50-something with acute chest pain: What do you think? I replied that this ST Elevation in precordial leads was…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!
This was submitted by a fantastic medical student who wished to remain anonymous: (Update on June 2, 2020): I can now say that is was…
Severe Atypical Chest Pain in a Young Woman: Series of Pericarditis ECGs
This young woman presented with atypical chest pain, often severe, for 10 days. MI was ruled out and an alternative diagnosis was made…
Widespread ST Elevation. Activate the Cath Lab?
A 40 year old male with several chronic illnesses presented to the ED with decreased level of consciousness and hypotension. He had…