Case page 8
Clot-Buster
| Case 42 |
|
A 58 year old female had been vomiting since 6.30am, at 9am she had then developed central chest pain. This was associated with perfuse sweating, and pain radiating to both arms. This was similar to previous angina but far worse, heavy in nature. She had had a stent fitted to the circumflex artery 10 days ago. She had not experienced any pain since having the stent fitted. GTN and morphine given by the ambulance crew had provided some relief, but was still in 7/10 pain. What are your ECG findings? In light of your ECG findings, what might be happening?
|
 |
|
Case 43 |
|
A 79 year old male presenting with abdominal pain Observations: Pulse 110, BP 112/59, Resp rate 48 He had been unwell for about a week, and had been vomiting, had increasing shortness of breath, looked cyanosed. He looked cachectic, and his abdomen looked mottled What are your ECG findings?
|
 |
|
Case 44 |
|
A 35 year old presented to Accident and Emergency, having experienced central chest pain lasting approximately 20 minutes, an incidental finding was found on the ECG. But what was it?
|
 |
|
|
| Case 45 |
|
16:00hrs in CDU A 46 year old presents to his GP with a 2 week history of intermittent chest pain. He explained that it had become continuous since 10 am yesterday. Has had no previous health problems, and he considers himself fit and active. He has never smoked. There is a family history of IHD, as he had an older brother who had an MI at 36, and sadly died last year at aged 54 following a second heart attack. He is slightly overweight and has an office job which is fairly sedentary workWhat are your ECG findings and diagnosis? |
 |
| Case 46 |
|
A 36 year old lady presented to Accident and Emergency following 2 hours of chest pain. It was sharp in nature and she had a productive cough. What is your ECG findings? |
|
|
| Case 47 |
|
A 67 year old female presented with generally feeling unwell, and dizzy/lightheaded at times. Her husband described her looking grey and clammy. She had seen reduced exercise tolerance down to 100yards, Past medical history of MI 16 years ago and was diabetic. What rhythm is she in? What might be causing the dizziness? |
 |
|
|
| Case page 1 - Case page 2 - Case page 3 - Case page 4 - Case Page 5 - Case page 6 - Case page 7 - Case page 8 - Case page 9 |
|
|
|
Copyright © 2006 Clot-Buster |
