Case 5: A 78-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old woman is admitted to the cardiovascular ICU after repair of a ruptured abdominal aortic aneurysm. She is known to have a congenital cardiac abnormality: Diagnosis P waves negative in lead I, positive in lead 2 – …
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Case 83: A 26-Year-Old Man Admitted for Inguinal Hernia Repair History Diagnosis ECG 2 History A 26-year-old man with a history of chronic alcohol use is being admitted for inguinal hernia repair: Diagnosis Negative P waves in lead I, marked right axis deviation, rS pattern in the chest leads, with decreasing voltage from V3 to …
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Case 3: A 42-Year-Old Man with Chest Pain History Diagnosis CXR History This 42-year-old man presents to the Emergency Department with atypical pleuritic chest pain, on and off for a few seconds at a time: Diagnosis Negative P-waves in lead I are initially suggestive of Right Arm-Left Arm lead reversal, but the unusual P-wave axis …
Case 15: A 63-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 73-year-old woman has been referred by her family physician because of angina during moderate exertion. She has been known to have a congenital cardiac abnormality: Diagnosis The computer’s diagnostic program suggests “arm lead reversal”, however, dextrocardia is the …
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Case 63: A 38-Year-Old Woman in Congestive Heart Failure History Diagnosis History This 38-year-old woman was admitted to the cardiac ward in congestive heart failure. She has been known to have a congenital cardiac abnormality since her teens, but had enjoyed good health until 2 years ago when she developed a Ewing sarcoma of the …
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Case 151: A 52-Year-Old Man who Fell History Diagnosis History This 52-year-old man was seen in the Emergency Department after an accidental fall. Investigation for head trauma was negative.A routine ECG was obtained. Diagnosis Dextrocardia The patient’s dextrocardia had incidentally been discovered after a chest X-ray in his twenties. Further assessment did not demonstrate any …
Case 161: A 43-Year-Old Man in the Pre-Admission Clinic History Diagnosis Chest X-Ray History A 43-year-old man is seen in the pre-admission clinic prior to his upcoming thyroidectomy, and a routine ECG is performed: Diagnosis Dextrocardia Likely Sinus Rhythm Premature Ventricular Complex The negative P-wave and QRS complex in lead I along with the R …
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Case 65: An 18-Year-Old Man in the Respirology Clinic History Diagnosis ECG 2 History An 18-year-old student is seen in the respirology clinic because of exacerbation of chronic chest disease due to primary ciliary dyskinesia. CT scans had shown diffuse bronchiectases in both lungs and pansinusitis: Diagnosis Negative P wave in I, right axis deviation, rS …
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