Woman 67 yo came in ED with shortnes of breath, fatigue,weak | Figure 1
Woman 67 yo came in ED with shortnes of breath, fatigue, weakness. On examination: auscult pulmo- normalan sounds, SP02-97%, without pretitibial edema. Glucosa- 6.4 mmol/l
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42yo male c/o chest pain and severe dyspnea made worse with exertion. Low 80's on room air other VS relatively normal aside from being a little tachy at times. No productive cough, chills or fever. Hx HTN and episodes of AFib in the past. Trop negative and DDimer 18.2. CT shows, "extensive emboli extending into segmental branches of all lobes."
90 yo to ED with hypoxia and tachycardia ddimer >13.5 troponin elevated. Ultimately Dx With saddle embolus.
classic case #chest-pain, #Tachycardia, low grade #Fever and "normal" chest #X-ray. Failure to respond to Z-pak given 7 days earlier at another facility
37M no PMH had 2 episodes of chest pain and SOB walking up stairs with load of laundry previous day. VS WNL, NL exam. EKG (posted) showed S1Q3T3. Wells score 0 and PERC negative. D-dimer was ordered by physician preference and was grossly positive. CTA showed bilateral large acute PE with saddle embolus and R heart strain. It is reminiscent of this article: Annals of Emergency Medicine, Volume 59, Issue 6, June 2012, Pages 521-523 Formal echo was normal and LE U/S showed popliteal and calf DVT. He was not just trying to get out of doing laundry.
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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
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.
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.
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?