A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
County Coronaries: Considering Cook County ECG Cases
Case: A 56 yo male with a history of T2DM, atrial fibrillation (on metoprolol 50 mg XL q daily, not on AC), presents with 3 days of worsening chest pain, epigastric discomfort, and shortness of breath.
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The Weekly Cheese, a short informative literature review for the EM Doc
Case: A 57 yo patient with PMHx of CAD and HTN presents with a regular wide-complex tachycardia, HR 150 but otherwise vitals signs stable. You vaguely remember that there are various algorithms to distinguish VTach from SVT + aberrancy, and wonder if you can potentially give them adenosine and save them an admission.
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County Coronaries: Considering Cook County ECG Cases
Case:
45 yo woman with past medical history of SLE, diabetes, and migratory arthritis who presents to the ED for evaluation of exertional chest pain for 5 days associated with shortness of breath, nausea, but no vomiting. Patient is well appearing and in no acute distress.
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