Sun.Jan 12, 2025

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CONCEALED CONDUCTION

ECG Guru

This ECG (3 rhythm strips) initially shows a sinus rhythm with 1st degree AVB grade I and wide QRS complexes (presumably RBBB pattern). A PAC (P-wave premature, different form than in sinus rhythm) appears approximately in the middle of the ECG, this is not conducte. Due to the strong prematurity, this is not surprising. But why is the 2nd PAC also blocked?

EKG/ECG 67
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Could This Be Cushing Syndrome?

Pediatric Education

Patient Presentation A 9-year-old male came to clinic for his well child examination. His mother was slightly worried about his weight as she had noted that he seemed to be eating more and was not being as active. She said he came home from school and would play videogames mainly. He did play soccer 2 times per week and had recess and gym class at school.