Ya time for picture quiz again! Let's look at the following ECG:
Ques: Please give a spot diagnosis.
Hint: It might not be an ordinary diagnosis!^^
(Answer's in comment)
Related post:
Picture Quiz (1)
Tuesday, December 09, 2008
Picture Quiz (2)
Subscribe to:
Post Comments (Atom)
18 comments:
hyperkalemia.. hahaha.kidding.
dorsales de pointes.
=P
erm.. ventricular tachycardia?
im not very sure actually.. my ecg is rather weak =/
Differentials:
1. Torsades de pointes
2. Electrolyte imbalance
3. VF
Hits?
Wah good try good try...wait ah I'll reveal the answer after a few more attempts...hehe
Torsades de pointes
polymorphic ventricular tachycardia
eh i wanna change my answer can ah? haha..
actually i meant ventricular fibrillation, not V tachycardia! wat was i thinking -_-
ok. I'm totally clueless. Hahaha.. Just started learning ECG yesterday actually !!
malu nyer wrong spelling -_-' haha..
peanut: It's ok...i thought it's Russian spelling hehehe jk;)
Okla here's the story of this ECG:
One day my nurse brought me this ECG and asked whether this is Torsades de pointes. As a normal response, you should jump up from your chair. Then I looked at it and found it kinda weird - only such rhythm in one single lead - V1! Other leads are all normal and pt just seemed clinically well.
So the next thing is - repeat ECG lo. Then found everything normal.
So final diagnosis:
- an artefact due to loosely connected chest lead
Wuahahaha! Ask you die not?
But before you feel like chasing after me, bear in mind that iatrogenic error is one of the last diagnosis that you should think of. It's not uncommon to see unexplained ECG which is actually due to wrong leads connection.
So that's the lesson! XDXD
And thanks for participating in the quiz!=)
*pengsan*
seriously resembles Torsades de pointes... some hell of an artefact! =P
=)
lesson that i learnt
1. consider iatrogenic
2. be suspicious when magician shows me sth..
wakakaka u purposely showed 1 lead onli........
will bear in mind next time.. :P
some cunning magic... o(>_<)o
yeah ccc, feel like giving the magician a punch. :D
shiyin: Pengsan lerr..hehe
wicrap: Your lesson 2 really made me laugh!=)
peanut: That's y..must be more observant next time..
ccc: Ya beware of more cunning magic next time..hehe
tw: Yew, be careful! I might use magic force to "transfer" back the punch to you! Dun play play..lolz
Post a Comment