ECG Challenge
ECG Challenge
Former Farmer Is Short of Breath
A 67-year-old man has a history of chronic dyspnea. He is a retired farmer who says he “never had time” to seek medical help for anything other...
ECG Challenge
Is Lingering “Flu” Responsible for Lethargy?
Accompanied by her daughter, whom she is visiting from out of town, a 72-year-old woman presents with a two-week history of lethargy. She says she...
ECG Challenge
Now Insured, Patient Wants to “Get Checked Out”
A 37-year-old man presents to your office to establish care. After being unemployed for two years, he recently obtained a position with a local...
ECG Challenge
Man Has “a Couple of Blocks Somewhere”
A 69-year-old man presents for a routine appointment. His cardiac history is remarkable for systemic hypertension, nonischemic cardiomyopathy,...
ECG Challenge
Obese, Short of Breath, and Rationing Meds
A 64-year-old man who is morbidly obese is admitted to the medical service with a two-week history of increasing shortness of breath, orthopnea,...
ECG Challenge
Young Man Thinks He is Having a Heart Attack
The 24-year-old male graduate student whom you saw one month ago for palpitations (see July 2013 ECG Challenge) returns without an appointment,...
ECG Challenge
Is Active Patient a “Picture of Health”?
A 62-year-old man presents for a preoperative history and physical exam prior to surgical repair of an injury to his right anterior cruciate...
ECG Challenge
Grad Student With Palpitations
A 24-year-old graduate student presents to the student clinic with a history of palpitations. He first noticed them while snowboarding two months...
ECG Challenge
Drug Abuse Follows a Broken Heart
A 26-year-old man is brought to the emergency department (ED) by three friends who hadn’t seen him for two days and went to his apartment to check...
ECG Challenge
Do Nausea and Vomiting Have Cardiac Cause?
A 58-year-old woman presents with epigastric pain that began gradually about four hours ago, re-maining constant for the past two. She describes...