Brady Pregerson, MD

A patient in their mid-50’s with a history of depression and HTN who has been off meds for a few weeks presents to the hospital with suicidal ideation. He denies intentional overdose as well as syncope, palpitations, chest pain, SOB, leg swelling or pain, fever, cough or other complaints.

Vital signs are normal except for elevated BP of 179/108. The physical exam is normal.

: NSR at 85, ST & T wave abnormality, consider lateral ischemia, Prolonged QT.
Credit: Brady Pregerson, MD

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Our latest case report from Brady Pregerson, MD, features a man in his mid-50s with a history of depression and hypertension who has not been taking his medication for a few weeks presenting to the hospital with suicidal ideation. Can you determine the correct diagnosis?

Cardiology Case Report: 5150

A patient in their mid-60’s with a history of sick sinus syndrome diagnosed 3 years ago presents to the hospital with palpitations, shortness of breath and lightheadedness that started around 6 PM. She denies any chest pain, syncope or other complaints.

Vital signs are normal except for a pulse in the 120’s. The physical exam is otherwise normal.

: Accelerated junctional rhythm, low voltage QRS, cannot rule out anterior infarct, age undetermined


Her cardiologist was contacted and found a normal echo and normal myocardial perfusion study in about 3-4 years ago. 

Our latest cardiology case report from Brady Pregerson, MD, features a woman in her 60s with a history of sick sinus syndrome presenting with palpitations, SOB, and lightheadedness. Can you determine the correct diagnosis?

Cardiology Case Report: Sick Sinus Syndrome and Palpitations

A patient in their mid-60s, with a history of Hashimoto’s thyroiditis using levothyroxine, presents to the hospital with 4 to 5 days of pain, swelling, and redness on her left thumb. She states that the pain is actually slightly better today than it was yesterday. She denies any trauma, fever, or other complaints. She does say about 3 weeks ago she had a small cut in that area that healed uneventfully within 4-5 days. She has no other complaints.

Vital signs are normal. Physical exam is also normal except for the thumb. See image below:

: Bedside water bath ultrasound shows a slightly hyperechoic mass without shadowing that does not compress. X-ray is shown below.

X-ray image of a patient's thumb.
Credit: Brady Pregerson, MD

Our latest case report from Brady Pregerson, MD, featuresa woman in her mid-60s with a history of Hashimoto’s thyroiditis treated with levothyroxine presenting to the hospital with 4-5 days of pain, swelling and redness on her left thumb.

Endocrine Case Report: Thumb Swelling and Redness 

A patient in their mid-70’s with a history only of dementia is brought from home to the hospital by medics as a STEMI for what sounds like a syncopal episode with persistent low BP. Medics state his initial BP was in the 60s but after 500ml of NS is in the 80s. His baseline is ambulatory but only oriented x 1-2, however in the past week he has been having generalized weakness and not getting out of bed. He was also having low grade fevers as well so they tested him for COVID and that was positive. He does endorse chest pain but it is unclear how reliable he.

BP in the 80’s, HR a-fib at 145-ish, pulse ox 95% on facemask and temperature normal. Lungs sound clear on exam

: A-fib with RVR, low voltage, ST elevation anterior, ***ACUTE MI***

Our latest cardiology case report from Brady Pregerson, MD, features an older man with dementia presenting with hypotension and brought to the hospital with a possible STEMI. Can you determine the correct diagnosis?