The patient is a 46 year old female who is presenting for concern of epigastric pain, nausea and vomiting. The patient has a history of chronic nausea, bipolar disorder, diabetes on insulin, and gastroparesis. Given her age and chief complaint, an EKG (Figure 1) was ordered to rule out atypical ACS.

Erica Dolph MD and Ari Edelheit

A 77-year-old female diabetes and hypertension presents to the emergency department for generalized weakness, shortness of breath, and abdominal pain. A brief initial exam demonstrates that she is in respiratory distress, diaphoretic, tachypneic. The patient is immediately brought to the resuscitation bay and she is found to have an oxygen saturation of 77% on room air and a point-of-care glucose of 500.

Michael Hohl MD and Ari Edelheit MD

A 66-year-old female with a past medical history of acute myeloid leukemia on chemotherapy complicated by tumor lysis syndrome and myelofibrosis presents for a concern of hypotension and tachycardia which was noted on presentation to the outpatient infusion clinic.  The patient states she has been feeling well and her last chemo was a month ago.  The patient denies any physical manifestations including shortness of breath, chest pain, nausea, vomiting, or other symptoms at present. She does have a history of supraventricular tachycardia (SVT). 

Erica Dolph MD and Ari Edelheit MD