An 18 yr old female with a known history of mitral stenosis presents to the HUM ED with two weeks of shortness of breath and chest discomfort.
This is her EKG. What does it show?
HINT: 15 minutes later, after approx 500cc of NS, here is a look at her monitor, how does this help us?
BIGGER HINT: Below is a video of us giving the patient 6mg of adenosine.
So what does her EKG show?
A 25 yr-old female presented to HUM with RLQ pain and nausea. Megan Mickley, one of our awesome visiting professors, Ultrasound Fellow from Children’s Hospital of Philadelphia, performed this ultrasound with one of our residents, which nicely demonstrates acute appendicitis.
80 yr old male presents to HUM with shortness of breath and this EKG. What’s going on, and what must you do IMMEDIATELY to treat him appropriately?
This Thursday was ENT Procedure Day for the HUM EM residents. Click here for instructional videos covering dental blocks, lateral canthotomy, foreign body removal, etc.
A 47 yr old woman, h/o HTN and Diabetes type II, presents to Mirebalais complaining of 1 month of dull epigastric pain.
Vitals on presentation: BP 95/72, FC 180, FR 28, O2 sat 97% on Room Air
A 17 yr old female presents to the HUM ED with acute onset left sided weakness approximately 6 hours prior to arrival. On exam, she was found to have a left sided facial droop, left arm and left leg weakness (able to walk but does so with significant limp). Her overall examination was consistent with an acute stroke.
An EKG was performed and is attached. What does this EKG suggest and what other bedside test should it prompt you to perform?
