26yo M with PMH of substance abuse, peak ECG at stress. Int | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

Some actions are only available when you log in.

Report case

Report this to our moderators

26yo M with PMH of substance abuse, peak ECG at stress. Intermittent, asymptomatic SVT throughout O2 consumption study. Newly diagnosed WPW as referral diagnosis. Discussion as to whether or not the patient went into VTach or SVT with aberrancy?

29 y/o f presents to clinic with episodic nausea, vomiting, fever, pain throughout body, sweats, constipation x 1 week, CP & tremors. Pt States “I went poo but it had green layers mixed in with brown and then envelopes by green” PMHx: minimal at best, mother was opioid addict when pt was in utero. Pt States her mother, sister and ex-husband states she has Sickle Cell Anemia. Pt had episodes like this growing up and when she gave birth. Symptoms are worsening. Pt give banana bag at infusion clinic. After infusion, pt stated “feeling better” then symptoms returned.

44yom complaining of dizziness since last night. EMS picked him up and found first rhythm. Ems gave #Amiodarone drip with no effect on rhythm. Upon arrival at hospital EKG showed VTACH. Pt quickly began sweating and turning grey. Pressure 66/40. Er administered a dose of 6mg and 12mg of adenosine with no effect. Pt was then cardioverted at 200j. Rhythm converted immediately to second rhythm shown. Pt no cardiac hx for him or family. Pt does have hx of drug abuse.