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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Index visit ECG

The Heart of the Matter - Irregularly Irregular, but Not Atrial Fibrillation?

August 21, 2023

Here you have a 68-year-old male with a PMHx of PE on apixaban, HTN presents with fatigue and several days of diarrhea. You are handed the following ECG. What is your interpretation?

Alejandro Negrete, MD

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In Cardiology
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Figure 1: “Tesselon Perles”

The Toxic Shelf - The Unintentional Ingestion of a Cough Suppressant

May 29, 2023

A 4-year-old boy born with no past medical history presents in cardiac arrest. As resuscitation measures are underway, you obtain collateral from EMS and parents. The patient’s sibling was recently diagnosed with a viral upper respiratory infection and was prescribed a cough suppressant. Unfortunately, the medication had been left within reach of the child, and an unknown number of capsules were ingested.

Here we will lead you through the management of the cough suppressant “Tesselon Perles”.

Sumeet Sandhu, DO & Jenny Lu, MD

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In Toxicology Tags The Toxic Shelf, Toxicology
Comment

Figure 1: Initial EKG

The Heart of the Matter - Posterior OMI

May 15, 2023

45-year-old Spanish-speaking male with no known past medical history presented to the ED with 2-3 hours of severe back pain and throat pain. You are handed the following EKG. What do you do?

Alejandro Negrete, MD

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In Cardiology
1 Comment
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