Archive for October 2013
Cardioversion in Pregnancy: Is it Safe?
Is cardioversion safe in the pregnant patient? A CASE A 24 yo female patient presents with palpitations and some dizziness. She is G1P0 and is 28 weeks gestation. Her rhythm strip is shown below. You make the diagnosis of SVT. You try the ‘REVERT‘ approach and other vagal techniques, with no success. What medications are…
Read MoreYou take your eye off the ball for one moment and the next thing you know…………
After 16 years of trying, just when I thought I was starting to get the hang of the interpretation of an ECG in the context of chest pain, They move the goalposts. In this case “They” are the Writing Group on behalf of the Joint ESC/ACCF/AHA/WHF Task Force for the Universal Definition of Myocardial Infarction.…
Read MoreThe Killer Rash That Wasn’t
A little more relaxed with this blog….but it is soo important. William Osler, is one of my heroes in medicine. He said “More is missed by not looking than by not knowing”. The one thing I teach in Clinical Examination is that we must examine and think as we do so and put it together,…
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