Wednesday, February 23, 2011

Cardiac Arrhythmia?

I really can't believe that I got such referral in clinic today.

This is a young teenager who was seen in district clinic and somehow had an ECG done. The clinic MO described it as "P waves present, but R-R interval irregular" and referred for "cardiac arrhythmia".

I'm sure you get the diagnosis by one look at the ECG. And I believe it's fair to say that this can be interpretated by an undergraduate.

But I just feel sorry for the patient that he has to come from so far away, missed a day of his school, waited for sometime in the clinic to be seen - for no reason! All due to the poor ECG knowledge, so unfair for the patient, isn't it?

Sunday, February 13, 2011

Interesting Chest Xray (7)

A patient came with 1-month history of low back pain, and progressive lower limb weakness and numbness. Examination showed presence of neurological deficit, a MRI spine was done and shown as below.

Her chest Xray was like this:

Now you can link them and come to the diagnosis?

(Answer will be in comment)

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