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Bedside tests

Mike Simpson

ECG – handout available

Facsimile of an ECG printout
Reproduced from Case 8 of ECG Cases 14 : Q-wave and Occlusion MI by Jesse McLaren, Emergency Medicine Cases.

Interpretation. Do not provide to student/team unless requested in consultation.
Sinus rhythm, normal axis. HR approximately 80bpm. Q waves in V2-V4. Fragmented QRS. Mild ST elevation V1-V2. Deep T wave inversion anterolateral: I, aVL, V2-V6. Impression: Prior anterior myocardial infarction with ongoing anterolateral ischaemia.

Other investigations

Investigation Case result
Bronchoscopy Normal
Cardiac stress test Not indicated
Colonoscopy Normal
ECG See above
Fingerprick BGL/HbA1c/Lactate/Ketones 5.3mmol/L
Gastroscopy Normal
Liver biopsy Normal
Lumbar puncture Normal
Oesophageal manometry Normal
Rapid Covid Antigen Test Negative
Rapid Strep Test Normal
Spirometry/Lung Function Tests Normal
Urine Dipstick Normal
Urine Pregnancy Test Not indicated
Vital signs report (HR, RR, BP, SatO2, Temperature) Findings reported in Physical Exam

 

Additional bedside interventions not indicated.

 

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Diagnosis: a Medical Education Game Copyright © 2024 by Eleonora Leopardi & Nara Jones is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

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