Concluded Case

Spot diagnosis

50 f came to ed with fall in spo2 70 at the time of Ecg on sc heparin

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Concluded answer

s1q3t3 characteristic of pulmonary embolism although ECG ain't complete without lead l

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S1q3t3....pulmonary embolism(?) Also sinus tachycardia...mc finding on ecg for PE present Hocm(?) Need trop-t d-dimer ct angiography

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ISCHEMIA ? REFER CARDIOLOGIST FOR BETTER DIAGNOSIS .

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Ecg is incomplete

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P.E until proven otherwise

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s1q3t3 characteristic of pulmonary embolism

Lead 1 is clearly visible with deep s wave
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Doctor Ecg isincomplete Lead-1 is missing Looking at the R-R interval the patient is Showing Tachycardia High voltage contractions Fibrillation, ST elevation Treatment of choice -Nifedipine -Continue Heparin to prevent thromboembolism

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S1Q3T3 , PE .

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