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the County Consult

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

Figure 1. Index ECG.

The Heart of the Matter - A Case of Vaginal Spotting

November 8, 2024

A 64-year-old female with a past medical history of hyperthyroidism status post partial thyroidectomy on levothyroxine initially presented to urgent care for two episodes of vaginal spotting over the last two weeks. At urgent care, she was noted to be tachycardic to the 130s bpm and was thus instructed to go to the Emergency Department (ED). The patient reported left lower quadrant pain but denied any chest pain, shortness of breath, or fevers. An ECG was obtained on arrival.

Taylor Wahrenbrock, MD, Michael Hohl, MD, and Ari Edelheit, MD.

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In Cardiology, Abdomen/GI
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Figure 1. Index ECG.

The Heart of the Matter - A Case of Exertional Dyspnea

November 1, 2024

A 59-year old-male with a past medical history of uncontrolled hypertension and polysubstance use disorder presents with exertional dyspnea that started 2 weeks ago. He reports associated bilateral lower extremity swelling, right greater than left, that started 2 days ago. An ECG is obtained on arrival (Figure 1).

Michael Hohl, MD

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In Cardiology
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Figure 1. Index ECG.

The Heart of the Matter - A Case of Central Chest "Irritation"

October 25, 2024

A 58-year-old male with no reported past medical history presents with central chest “irritation” and exertional dyspnea for 1 day. He his hypotensive and diaphoretic upon evaluation. An initial ECG followed by a right sided ECG is obtained (Figures 1 and 2).

Adam Roussas, MD

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In Cardiology
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