Thursday, July 12, 2012

ECG Interpretation - Case 2

A 46 year old gentleman came to the Emergency department with c/o sudden dyspnea. Patient had similar episode of dyspnea two days earlier which was associated with profuse sweating. Patient is a reformed smoker and a social drinker. ECG is displayed below. Let`s interpret the ECG and decide the next step in the management.


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Wednesday, July 11, 2012

Choose The Most Likely Diagnosis




Click one of the options to choose your answer 

A 70 year old woman with a history of breast cancer and tobacco use complains of dizziness and dyspnea on exertion. Her heart sounds are distant and her systolic blood pressure is noted to markedly decrease with inspiration. Which of the following is the likely diagnosis?

Restrictive Cardiomyopathy
Mitral Valve Regurgitation
Congestive Heart Failure
Pulmonary Embolism
Cardiac Tamponade


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Tuesday, July 10, 2012

What is most likely Diagnosis?


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A 30 year old female with no significant past medical history is 42 weeks pregnant and labor has just begun. She begins to complain of difficulty in breathing which worsens throughout delivery to the point of requiring intubation. She had never previously complained of any shortness of breath or chest pain. Her temperature is 37.0, blood pressure 90/60, heart rate 135, respirations 25, and oxygen saturation 100% on 60% FiO2 on the ventilator. Physical examination reveals diffuse pulmonary rales, a II/IV early diastolic murmur, and no lower extremity edema. Laboratory studies are normal. ECG shows sinus tachycardia and left atrial enlargement. Her chest x-ray has pulmonary edema. Which of the following is the most likely diagnosis?

Aortic Dissection
Dissection of Coronary Artery
Aortic valve Stenosis
Mitral Valve Stenosis




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Monday, July 9, 2012

ECG Interpretation - Case 1


Interpret The ECG and leave you diagnosis in the Comment Box Below.......















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