Cardiology

Critical Cases - Torsades de pointes!

A 37 yo female presents with chief complaint of "electric shock" sensations down her arms and intermittent nausea/vomiting over the past week. Her vital signs are unremarkable. Little do you know that this young, well appearing patient has an acute medical emergency which will result in cardiac arrest in a few hours....

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Critical Cases - New Onset Afib with High Output Heart Failure!

History

  • 49 yo F  pHx asthma presents  ED with worsening DOE for the last month acutely worsening today 
  • No prior hospitalizations or intubations for asthma exacerbation 

ROS

  • Positive for dyspnea, palpitation
  • Positive for abdominal distention, which she attributes to constipation

PMHx

  • Moderate intermittent asthma on albuterol PRN 

Physical Exam

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