A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 49-year-old male with a history of hypertension, hyperlipidemia, and a history of opioid use disorder presents to the emergency department. The tech hands you this EKG (Figure 1) and says, “Hey doc, this patient states he has palpitations, they are going to R1.”
Taylor Wahrenbrock MD, Michael Hohl MD, Michael Nelson MD, and Ari Edelheit MD
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You’re sitting by the EMS radio when a call comes in: 56 y/o male with no reported PMHx presenting with facial swelling that started earlier this morning. His lips are so swollen that he’s having some trouble controlling his secretions. He received epinephrine and diphenhydramine en route without too much improvement.
Nanditha Ravichandran MD and Eric Leser MD
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Figure 1. Index EKG
The patient is a 69-year-old female with past medical history of remote myocardial infarction status post stent placement 19 years ago, who is presenting for concern of chest pain. She states the pain started approximately 30 minutes prior to arrival and has shortness of breath as well as chest pressure. The pain radiates down her left arm.
Erica Dolph MD and Ari Edelheit
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