Ultrasound Case 066

A 47 year old man falls 4m onto a wall, hitting his left chest wall. He is complaining of chest pain and you wonder whether there is a pneumothorax. Describe and interpret these scans The post Ultrasound Case 066 appeared first on Life in the Fast Lane • LITFL • Medical Blog. Go to Source

Should Troponin be a Vital Sign? Perhaps, but only if Interpreted Using Pre-test Probability.

An 80-something non-english speaking patient complained of vertigo.  He was asked multiple times about chest pain or dyspnea, but repeatedly denied any such symptoms. His vital signs were all normal.  His exam was normal. He had a triage ECG at time 0 (ECG-1): Computer read, with Physician overread:Sinus rhythm.  Possible right ventricular conduction delay.What do

Chest pain and Diffuse ST depression, with STE in aVR. You probably think it is left main…..

A 75 year old woman complained of very atypical chest pain, lasting days, worse with movement and palpation. Here is her ECG (ECG-1): There is diffuse ST depression, very worrisome for ischemia. The patient had a negative initial troponin, which was puzzling to the providers. The patient was admitted and serial troponins were all below

What is the Rhythm?

—————————————————- Presentation by KEN GRAUER, MD: —————————————————- The Case: A previously healthy young man presented to the ED for shortness of breath and chest pressure that occurred ~3 hours earlier, when he suddenly felt his heart “skip a beat”, and then begin “racing”. He felt “lightheaded” (presyncopal) during the episode — with the “strong sensation of his heart beating”. He