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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 EKG

Heart of the Matter: E-aVL-uating for Posterior OMI

January 31, 2026

A 53-year-old man with no known medical history presents to the emergency department with three days of progressive shortness of breath and leg swelling. His dyspnea is worse with exertion. He denies chest pain, nausea, vomiting, or diaphoresis. Initial vitals notable for BP 190/95, HR 84, RR 24 and 86% on room air. The patient’s initial EKG (Figure 1) is shown.

Abish Kharel MD and Ari Edelheit MD

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Pharm & Cheese: How to Give Medications "Sick Days Off"

January 31, 2026

In time for the season!  Have you ever wondered about how acute illness impacts chronic medication usage? What do we tell our "sick" patients upon discharge?

Joanne Routsolias PharmD

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In Pharmacology Tags Pharmocology, PharmD Pearl, Weekly Cheese
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Figure 1. Index EKG

Heart of the Matter: A Toxic Tachycardia

January 12, 2026

A 49-year-old male with a history of hypertension, hyperlipidemia, and a history of opioid use disorder presents to the emergency department. The tech hands you this EKG (Figure 1) and says, “Hey doc, this patient states he has palpitations, they are going to R1.”

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

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In Cardiology, Toxicology Tags Toxicology, Cardiology, The Toxic Shelf
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