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Noisy, low amplitude ECG in a patient with chest pain

Dr. Smith's ECG Blog

The patient was tremulous and severely hypoglycemic by point-of-care testing. Tachycardia is unusual for OMI, unless the patient is in cardiogenic shock (or getting close). This suggests thrombus (since the contrast does not penetrate the formed thrombus very well). We again see the L A D coursing anteriorly.

EKG/ECG 66
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Diagnostics: Inflammatory Markers

Taming the SRU

As the name would suggest, inflammatory markers are biological markers of, well, inflammation. The authors recommended against the use of biomarkers or clinical symptoms stand-alone tests to diagnose bacterial pneumonia given the poor test characteristics. Intensive Care Med. The American journal of gastroenterology.

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Episode 24 - First Trimester Pregnancy Emergencies: Recognition and Management

EB Medicine

Jeff: Great starting point since there is certainly a lot of debate about the discriminatory zone. So to get us all on the same page, the discriminatory zone is the b-HCG at which an IUP is expected to be seen on ultrasound. A 2010 Meta-Analysis found a NPV of 99.96% when an er doc identified an IUP on bedside ultrasound.