Click on one of the cases from the menu to begin

Test your clinical skills and judgment from real live ED patients. Each case of the month includes a clinical scenario along with an image of a physical exam finding, an EKG, or a diagnostic test. No long cases or drawn out answers – just what is quick and essential.

Subscribe:

• To subscribe go to our home page and enter your email in the box in the upper right hand corner, then hit the “subscribe” button and follow the directions.
• Don’t forget to click the conformation link our email that will end up in your inbox or junk folder

 

****

UNFINISHED CASE – Return Later

History:

A patient in their mid-60’s presents to the hospital with       denies syncope, palpitations, chest pain, SOB, leg swelling or pain, fever, cough or other complaints.

Exam:

Vital signs are normal.  The physical exam is also normal.

An ECG is done

COPY OF ECG HERE

Computer Read:

Other info:

What is the most likely cause of the ECG findings in this patient?

• A) Anxiety/Panic 
• B) Blood clot (PE)
• C) Cardiac: ACS
• D) Drug toxicity 
• E) Electrolyte issue 

What is the most likely rhythm in this patient?

• A) Sinus bradycardia with PAC’s
• B) 1st degree AV block
• C) 2nd degree AV block, type 1 
• D) 2nd degree AV block, type 2
• E) 3rd degree AV block 

 

SCROLL DOWN FOR THE EKG ANALYSIS & 1-MINUTE CONSULT

<<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>>

****************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Get one of our publications, all designed specifically for Emergency Care Providers

Emergency Medicine 1-Minute Consult, 5th edition

A-to-Z EM Pharmacopoeia & Antibiotic Guide, 5th edition, BRAND NEW 

8-in-1 Emergency Department Quick Reference, 5th edition, NEW

******************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

 

ECG ANALYSIS, QUIZ ANSWER, CASE OUTCOME/PEARLS & 1-MINUTE CONSULT: 

My ECG interpretation (by Dr. D. Brady Pregerson of ERpocketbooks.com):

ANOTHER COPY OF ECG HERE

QUIZ ANSWER: What is the most likely cause of the ECG findings in this patient?

• A) Anxiety/Panic – Should always be a diagnosis of exclusion and should not cause ECG changes beyond tachycardia.  If you chose this, slap yourself!
• B) Blood clot (PE) – PE should always be on the radar
• C) Cardiac: ACS – ACS should always be on the radar
• D) Drug toxicity – not likely given other clinical information
• E) Electrolyte issue – not likely given other clinical information

1-Minute Consult on this topic: Click HERE and scroll to proper page

Case Outcome:

Case Lessons:

***