• About WordPress
    • WordPress.org
    • Documentation
    • Support
    • Feedback
  • Log In
  • Register
  • HOME
  • RESIDENCY
    • Group 1
      • Letter From Our Residency Directors
      • Residents
      • Residency Community
      • Wellness
    • Group 2
      • Administrative Resources
      • Clinical Curriculum
      • Didactic Curriculum
      • Training Sites
    • Group 3
      • Faculty
      • APPs
      • Staff
      • Alumni
  • STUDENTS
    • Applying to EM Residency
    • Social EM Research Diversity Externship
    • Emergency Medicine Clerkship
    • EM Ultrasound Clerkship
  • EDUCATION
    • Board Review
    • Conference Schedule
    • Conference Materials
    • Education Forum
    • Journal Club
  • SPECIAL PROGRAMS
    • Diversity
    • EM Ultrasound
    • ONDAS de Latinoamérica
    • Research
    • Social Emergency Medicine
  • FELLOWS
    • Ultrasound Fellowship
      • Past Ultrasound Fellows
    • Quality and Safety Fellowship
    • Emergency Cardiology and Resuscitation Fellowship
  • MEDIA
    • Highland In The News
    • Documentaries
  • NEWS
    • Blog
    • Events
  • CONTACT US
Highland Emergency Medicine Residency Program
  • HOME
  • RESIDENCY
    • Group 1
      • Letter From Our Residency Directors
      • Residents
      • Residency Community
      • Wellness
    • Group 2
      • Administrative Resources
      • Clinical Curriculum
      • Didactic Curriculum
      • Training Sites
    • Group 3
      • Faculty
      • APPs
      • Staff
      • Alumni
  • STUDENTS
    • Applying to EM Residency
    • Social EM Research Diversity Externship
    • Emergency Medicine Clerkship
    • EM Ultrasound Clerkship
  • EDUCATION
    • Board Review
    • Conference Schedule
    • Conference Materials
    • Education Forum
    • Journal Club
  • SPECIAL PROGRAMS
    • Diversity
    • EM Ultrasound
    • ONDAS de Latinoamérica
    • Research
    • Social Emergency Medicine
  • FELLOWS
    • Ultrasound Fellowship
      • Past Ultrasound Fellows
    • Quality and Safety Fellowship
    • Emergency Cardiology and Resuscitation Fellowship
  • MEDIA
    • Highland In The News
    • Documentaries
  • NEWS
    • Blog
    • Events
  • CONTACT US

Tagged: syncope

  • This topic has 2 replies, 2 voices, and was last updated 1 year, 2 months ago by Max Sobrero.
Viewing 3 posts - 1 through 3 (of 3 total)
  • Author
    Posts
  • March 30, 2021 at 3:16 pm #10214
    Max Sobrero
    Keymaster

    A 65 yo M with pmh DM, HTN, CKD is BIBEMS after roommate witnessed syncopal event x 2. Patient repeatedly denies this but admits he has been feeling “a little weaker” over the past several days. He otherwise denies fever, chills, n/v, CP, SOB, DOE, bloody stools/melena. He would like to go home as soon as possible but is willing to be evaluated by you.

    VS 37C, 160/80, 110, 24, 95%RA

    Appears slightly diaphoretic and a little pale but otherwise unrevealing exam.

    What is your interpretation of his initial EKG? What are your next steps?

    EKG

    April 16, 2021 at 7:58 am #10219
    amasingh@alamedahealthsystem.org
    Participant

    A bunch of little things abnormal with this ECG

    sinus tachycardia

    S1Q3 with maybe a T3

    STE in aVR and V1

    mild diffuse STD in I, II, aVL, aVF, V3-V6

    the R wave transition is early

    and there is a PAC with normal conduction and a PAC with aberrant conduction

    I vote PE – this ECG has 3 of the 5 common signs consistent with PE.

    April 20, 2021 at 11:39 am #10221
    Max Sobrero
    Keymaster

    Thanks, Deep! Final chance for residents to chime in before the answer is revealed…

    Anything else you’d want to know or do? How would you work this up?

    Hint: Deep is *really* good at interpreting EKGs…

  • Author
    Posts
Viewing 3 posts - 1 through 3 (of 3 total)

You must be logged in to reply to this topic. Login here

Log in / Register

Search

User Login

Log In
Register Lost Password
Twitter Instagram