amreport ekgs 1.16.12
TRANSCRIPT
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Morning Report
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EKGs
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EKG Case #1
16 y/o M athlete arrives for a sports physical. He has hadpalpitations and an episode of near-syncope, which he thoughtwas due to overexerting himself. No previous workup as aresult. What is the interpretation of his EKG?
http://www.heartpearls.com/tag
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EKG Case #1
In the event of acute SVT, all of the followingmedications should be avoided except:
http://www.heartpearls.com/tag
A. DigoxinB. ProcainamideC. AdenosineD. Metoprolol
E. Verapamil
A. DigoxinB. Procainamide wide-complexC. AdenosineD. Metoprolol
E. Verapamil
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EKG WPW
http://www.heartpearls.com/tag
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Wolff-Parkinson-White Syndrome
http://www.washingtonhra.com
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WPW Pathyophysiology
http://www.washingtonhra.com
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WPW Reentrant tachycardias
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WPW Treatment
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WPW Treatment
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EKG Case #2
16 y/o M athlete presents to you in clinic with
syncope while standing at home. Has not beenfeeling well fever, headache, myalgias,arthralgias, chest pain.
What is the interpretation of this EKG?
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EKG Case #2
Interpret this EKG.
A. Sinus tachycardiaB. PericarditisC. Normal variant pediatric EKG
D. Sinus rhythm with left ventricular hypertrophyE. Acute ST-segment elevation myocardial infarction
A. Sinus tachycardiaB. PericarditisC. Normal variant pediatric EKG
D. Sinus rhythm with left ventricular hypertrophyE. Acute ST-segment elevation myocardial infarction
http://reference.medscape.com
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EKG Case #2
ST-segment elevations in
precordial leadsbenign earlyrepolarization with J-point elevation (normal
variant in peds)Elevated lateral R-wave voltagesbenign, common in
young, thinathletes
http://reference.medscape.com
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EKG Case #2
Name other causes of ST-segment elevation otherthan myocardial infarction?
Normal variant Acute myocarditis or pericarditis Hyperkalemia
Pulmonary embolism Left ventricular hypertrophy Left bundle branch block Ventricular aneurysm
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EKG Case #3
DOL 1 newborn with central cyanosis. Not inrespiratory distress. What is the diagnosis?
http://cardiophile.org/
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Tricuspid Atresia
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Tricuspid Atresia Symptoms
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Tricuspid Atresia Findings
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Tricuspid Atresia Treatment
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Objectives
Review how to read an EKGReview the EKG findings for:
WPWNormal athleteTricuspid atresia
R f
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References Westrol, M, Kapitanyan, R. Pediatric ECG Cases: Benign Variants or Life-Threatening Abnormalities?
http://reference.medscape.com/features/slideshow/ped-ecg?src=nl_slide. Wolff-Parkinson White Syndrome and Atrioventricular reciprocating tachycardia.
www.washingtonhra.com/38.html.
Ellis, CR, et al. Wolff-Parkinson-White Syndrome. emedicine. May 26, 2011. Rao, PS, et al. Pediatric Tricuspid Atresia. emedicine. October 15, 2011.