EKG Preview / Last Chance Sale
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I’ll be releasing a new case in the next few weeks that revolves around the EKG shown below.
A 21-year-old healthy college student checked in to the ED with fatigue, shortness of breath, cough, and chest pain.
Vitals were normal:
Temp 36.3C
Pulse 84bpm
Resp 16/min
BP 134/86
SpO2 97% on room air
His COVID test was positive.
This happened during the pandemic. The hospital had a policy that visitors could not come in to the ED, so the patient’s mother waited in the parking lot and didn’t speak with the doctor.
A CXR was unremarkable.
No labs were ordered.
The EKG is shown here:
The ED physician wrote a thoughtful and careful note.
The patient was discharged home.
He died a few weeks later, and autopsy revealed the cause of death.
Reviewing this case definitely improved my EKG interpretation ability.
I think I had been taught this EKG finding at some point, but it’s a rare and niche finding, so I had forgotten. Reading this case was invaluable to cement it in my mind, and I think it’ll do the same for you.
I’m sure some readers will recognize it easily, and some will be stumped.
See if you can figure it out by the time I release the case (probably early July).
Protect yourself.
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