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You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Case Hello, I’m calling from the ER at the adult hospital across the street. I have a 17-year old male who came in for palpitations. He says that he first noted them two days ago when he was hanging out with his friends. They were playing basketball and he says he felt fine at that time but went to cool off with a drink at the…
Case I’m calling from the ER with a 16-year old male who was playing in a soccer tournament today and suddenly collapsed on the field. They say that just before he fell he was acting strange, a bit disoriented, and very unsteady on his feet. He was running the opposite direction of the ball and then he fell, face-first into the ground and has a pretty…
Case Hi, I’m calling from the ER and sorry to bother you on a weekend. I have this 14-year old female who has been previously healthy and passed out while she was running in her first high-school cross-country race this morning. When she came in by paramedics who were at the race, she looked a bit pale and sweaty but she did just run the race.…
Case Hi, we have a 13-year old girl who was brought in by ambulance after she passed out today at school. She was standing in line at the cafeteria during lunchtime. The teacher reports that she fell to the ground while in line and woke up almost immediately. The teacher stated that she looked pale. She looks well now and the vitals are all stable. Should…
Case Thanks for taking my call. I have this 16-year old adolescent male that I have been following for years who now presents for his athletic participation physical. As I am listening to his heart I am noting some skipped beats at rest. I don’t recall ever hearing this before and I have nothing documented in his chart. He is completely asymptomatic and wants to play…
Case I’m calling from the ER and I have a 15-year-old female that has just been brought in by paramedics for a drug overdose. She is responsive to pain but non-communicative. This is her second suicide attempt according to the family. She lives with her grandparents and apparently they found her in her room surrounded by empty bottles of her grandfather’s heart medication. I’m not sure…
Case Hi thanks for taking my call. I’m a local psychiatrist and I obtained an ECG on this 7-year-old boy who I follow and was recently diagnosed with ADHD. The reading from the ECG machine says it is “abnormal” with a comment at the top saying “Evidence of Ventricular Preexcitation.” The child has been asymptomatic and has never complained of any heart related concerns to my…
Case Thank you for taking my call. I am a local pediatrician and I just had a mother come in with her son for an evaluation. He is an 11-year old young man who I have been following since birth and has no real medical history to speak about. But the reason I am calling you is that the mother informed me today that his father…
Case Hi doctor, this is the check-in desk calling from the waiting room. I have a mother here who has brought her 8-year old son with an electrocardiogram (ECG) in her hands stating that she needs to have this read before she can get a prescription for ADHD medications. You have never seen this child before, but the mother is insisting that the ECG be read…
Case Hi, thanks for taking my call. I have a 6-year old female who presents today for what appears to be an otitis media on her right ear. Mom says she has had a day of fever and has been complaining of ear pain. The reason I am calling is that when she came into the office, her heart rate was 150 bpm. She had a temperature…
Case Sorry to bother you, I’m calling from the emergency room at Blank Regional Hospital, we’re about 90 miles from your institution. We had a 7-year old female who has a history of supraventricular tachycardia (SVT) that presented with breakthrough tachycardia today at 220 bpm. I tried having her blow through an occluded straw and she was unable to break the tachycardia- this usually works for her.…
Case Hi, thanks for taking my call. I have a 3 year-old boy in my office today who I am seeing for a well-child check. I have been following him since he was born and he really hasn’t had any issues. His parents are great and come in for routine follow ups. He is keeping up with his developmental milestones and he is up to date…
Case Hi there, sorry to bother you, but I was wondering if I could curbside you on a case I’m seeing in the urgent care? I have a 2-year old who came in with his parents because he passed out at home. He has been otherwise healthy and was running around at home, chasing his older sibling, when he tripped on the rug and hit his…