Conduction and block
8 cases filed under conduction and block. Each opens on a tracing, asks what is on it, and ends with the reading worked through.
-
Dizziness and two near-faints since this morning
Lives alone and independent. Treated hypertension on amlodipine only — no beta blocker, no rate-limiting calcium blocker, no digoxin and no antiarrhythmic. No chest pain and no…
Work the case
-
Two episodes of sudden loss of consciousness
Retired carpenter. Hypertension treated with amlodipine. No previous cardiac history. His wife witnessed two brief episodes of syncope today, each lasting about ten seconds, with…
Work the case
-
Light-headedness on standing for two days, with one unwitnessed collapse
Forestry worker, no regular medication, no cardiac history. Removed a tick from her thigh six weeks ago and had an expanding red rash around the bite that faded without treatment.…
Work the case
-
Breathlessness during a viral chest infection
Dilated cardiomyopathy with a documented left bundle branch block. No chest pain and no syncope. She is mildly breathless but haemodynamically stable.
Work the case
-
Lightheadedness and palpitations for three days
Forestry worker. Spent August clearing scrub; treated an expanding red rash on the thigh himself with antiseptic cream about four weeks ago. No regular medication, no drugs, no…
Work the case
-
Abnormal monitor tracing noted on the post-operative ward round
Eileen Kavanagh is on day 2 after a cemented hemiarthroplasty for a fractured neck of femur. Febrile overnight with a productive cough; antibiotics for a hospital-acquired…
Work the case
-
Vomiting and clamminess for an hour, with a heavy feeling across the chest
Type 2 diabetes on metformin, hypertension on amlodipine. Smokes fifteen a day. Walked into his rural GP surgery, who called an ambulance when the practice nurse could not find a…
Work the case
-
Palpitations and breathlessness that began during a football match an hour ago
Fit and well, no regular medication. Two shorter episodes of racing heartbeat over the past year, both stopped on their own before he reached a doctor. Kwabena Asare walked into…
Work the case