Interesting point from Amal Mattu. What historical factors of CP are predictive of ACS? 1) association with diaphoresis 2) association with vomiting 3) association with exertion 4) radiating to both arms or right arm All others are n…
An 18 year old female presents to the peds ED after an episode of witnessed syncope. Pt was hiking when had sudden LOC, no preceding symptoms. She now feels well and denies CP and palpitations. No prior episodes. No OCP use or other PE ris…
23F h/o asthma is brought in from home s/p seizure. She is currently altered, but her grandparents (whom she lives with and witnessed the seizure) are at the bedside. They deny a history of seizures and report no preceding fever. An agile E…
A 50yoM with h/o MI >5 years ago presents with a heart rate of 150, only complaining of palpitations, and otherwise normal vital signs. States he was told he had some type of arrhythmia in the past with similar symptoms, and was given a…
A 66yoM with advanced CHF s/p LVAD, who was in his usual state of health, presents because he felt his AICD fire multiple times. In the ED, his rhythm shows ventricular tachycardia. A pulse, blood pressure or oxygen saturation cannot be obt…
A 60yoM with h/o hypertension presents with palpitations x 24 hours. He has never had this before. In the ED, he has normal vital signs but his rhythm shows atrial fibrillation. You do blood tests including a ddimer, BMP, troponin, and a ch…
