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the County Consult

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

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Figure 1. Index visit ekg.

Heart of the Matter - A Woman with Palpitations

September 22, 2023

Here you have a 46-year-old woman presents with palpitations. 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. Still images from point of care echocardiography of patient noting a dilated aortic root, early RV diastolic collapse in the context of a pericardial effusion, and an aortic dissection flap. Left: aortic root measuring 5.3cm; Right: early RV diastolic collapse with dissection flap

Cool County Cases - Aortic Dissection with Hemopericardium and Cardiac Tamponade

September 15, 2023

The Case:

A 40-year-old man with no known past medical history presented for evaluation of chest pain. According to the patient’s fiancée, the patient was experiencing chest pain one day prior to presentation. He continued to have chest pain and was seen at an urgent care clinic, where he was referred to the Emergency Department for an abnormal EKG and chest radiograph. While in the waiting room, the patient had a syncopal episode and was brought back to a station. The patient has no significant surgical or family history. He is a lifelong nonsmoker and occasional social drinker.

Vladimir Bernstein MD

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In Cardiology, Critical Care
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MS4 Infographic - Shedding Light on Correctional Healthcare

September 11, 2023

Justice-involved individuals are unique in their right to healthcare, but this right has not come with a guarantee of quality care or significant disparities. Here you will find a discussion of the current and future landscape of correctional care.

Colette A. Beard Baugham, MS4

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In Social EM
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