Case page 2
Clot-Buster
| Case 7 |
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A 56 year old gentleman who presented with abdominal pain had been experiencing diarrhoea and vomiting for the last 8 days. He had been unable to keep any fluids down over the last week. He was a little confused/disorientated at times, he was also complaining of limb stiffness and cramps. His ECG is below, what are your findings? Would you consider thrombolysis?
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| Case 8 |
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A 83 year old lady presented to A&E with a history of chest pain. It had started while she was in bed at 6am. On arrival she scored it at 3/10, she had felt short of breath. By late morning she had arranged to go and see her GP who sent her to A&E. She attended A&E at 13:30. What are your ECG findings? Would you consider thrombolysis?
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| 2 hrs later she dropped her BP, her ECG now looked like this. |
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On further examination she had developed a pan systolic murmur. What do you think has happened?
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| Case 9 |
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A 76 year old Asian lady presented in A&E at 07.40hrs with a 48hour history of chest pain, severe difficulty in breathing and coughing up pink frothy phlegm, which was suggestive of left ventricular Failure (LVF) PMH Diabetes Hypertension On arrival she was pale and sweaty, became bradycardic and went in to cardiac arrest. She was given CPR and adrenaline, after 2 ˝ minutes she recovered her output, and was breathing for herself. This was her presenting ECG prior to her arrest, what is your interpretation?
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| 50 minutes later her ECG now looked like this. |
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What are your findings and what other information might confirm your diagnosis?
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| Case 10 |
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A 62year old gentleman presented following chest pain the day before, which was “pumping “ in nature. It started in his neck and radiated to the centre of his chest and down both arms. The pain was currently 5/10. The pain had started at 15:00hrs yesterday while gardening and was associated with SOB, sweating and nausea. Smoker 50grams/week BM 19.6 mmols Known Peripheral vascular disease (PVD) What does the ECG show?
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| Case 11 |
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A 55-year-old male with a sudden onset of central chest pain radiating to his left arm associated with sweating, nausea and vomiting. He presented in A&E via the ambulance within 1˝ hours. PMH Hypertension Patient had been “red called” in to resus. What does this ECG suggest?
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