Nursing, Pericarditis and Pulmonary - Cardiovascular Update

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Pericarditis

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31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!

Dr. Smith's ECG Blog

DECEMBER 20, 2013

Here is his initial ED ECG: The R-wave in V4 extends to 33 mm, the computerized QTc is 372 ms The only available previous ECG is from one year ago, during the admission when he was diagnosed with pericarditis: 1 year ago ECG, with clinician and computer interpretatioin of pericarditis Normal 0 false false false EN-US X-NONE X-NONE What do you think?

Pericarditis

Pericarditis Chest Pain Pulmonary STEMI

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

JANUARY 9, 2023

CT angiogram chest: no aortic dissection or pulmonary embolism. Serial chest xrays: progressive bilateral pulmonary edema. Pericarditis? No further troponins were measured. Echo: severely dilated LV, severely reduced EF at 10%, severe hypokinesis of LV from mid-apical segments with basal segments better preserved.

Chest Pain

Chest Pain Aneurysm STEMI Thrombosis

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31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with Great Commentary on Bias!

A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

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