65M presents to ER with intermittent chest discomfort since | Figure 1

MSarto

Registered Nurse

65M presents to ER with intermittent chest discomfort since noon. PMHx: spinal stenosis. VSS. What do you see?

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72yo patient seen in the office without complaints for routine cardiomyopathy follow up. She has an implanted icd for sudden death protection.](https://app.figure1.com/case-detail/19642ba2-6f96-4450-aac7-af99a9290854)

Part 3 of previous case. Rhythms from second code.](https://app.figure1.com/case-detail/4589317b-178f-467f-a118-62741eee197d)

CLTmedic 89yo independent female. Patient c/o period of anxiety, chest pain, feeling like she was going to "choke" while eating dinner. Hx of dementia and osteoporosis, family denies any cardiac Hx or medications. Pt is currently being treated for pneumonia, #Doxycycline x2 days. Pt was complaint free for EMS. Irregular, rapid pulse. Lung sounds were clear with mild fine rales. V/S 135/96, HR 130-180, RR 24, SpO2 93-95% RA, afebrile. --- pic 1: initial rhythm strip. Pic 2: initial 12 lead. Pics 3&4: continuous rhythm strip 3 min after pic 2, without any intervention. Pic 5: 12 lead following](https://app.figure1.com/case-detail/65991c2f-0822-4205-9d63-90dcd2b6e80a)

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A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)

patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)