Brady Pregerson, MD

A man in his late 50’s presents to the ER with 3 days of episodic chest pain, both at rest and with exertion. He has been getting it 2-3 times a day lasting about 5 minutes at a time until today when it became more severe and lasted about 10 minutes. In addition, today it radiated to his left arm for the first time. His modifiable cardiac risk factors include tobacco use and hypertension.

Vital signs are normal. Physical exam is also normal. He is currently pain free

Computer Read: Sinus bradycardia at 58, moderate T wave abnormality, consider anterolateral ischemia.
Credit: Brady Pregerson, MD

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This cardiology case report from Brady Pregerson, MD, features a man in his late 50s presenting with 3 days of episodic chest pain. Can you determine the correct diagnosis?

Cardiology Case Report: 3 Days of Episodic Chest Pain

A patient in their early 70s presents to the hospital with palpitations for the past 2 hours that started while playing a round of golf. He feels dizzy, but denies vertigo, syncope, chest discomfort, leg swelling, fever, cough, or other complaints. He has no known medical history but does smoke tobacco.

Vital signs are normal except for tachycardia. The physical exam is otherwise normal with clear lungs, no leg edema, and no nystagmus.

Computer Read: Sinus tach at 132, Non-specific intraventricular conduction delay.

This case report from Brady Pregerson, MD, features a man in his early 70s presenting to the hospital with palpitations for the past 2 hours that started while playing a round of golf. Can you determine the most likely rhythm? 

Cardiology Case Report: Palpitations at Golf

A patient in their mid-60s with a history of COPD on home oxygen, recurrent pyelonephritis, and GERD on a PPI presents to the ER with generalized weakness and her baseline level of dyspnea. She denies any current diarrhea, dysuria, fever, chest pain, or other complaints.

Vital signs are normal. The physical exam is normal except for bilaterally diminished breath sounds consistent with advanced COPD.

Computer Read: NSR 94, ST deviation and moderate T wave abnormality, consider inferior ischemia
Credit: Brady Pregerson, MD

This case report from Brady Pregerson, MD, features a woman in her mid-60s presenting to the ER with generalized weakness and dyspnea. Can you determine the correct diagnosis?

Cardiology Case Report: Generalized Weakness and Dyspnea

An otherwise healthy 32-year-old female with a history of polycystic ovaries and diabetes presents to the emergency department for sudden trouble swallowing, confusion, and shakiness. She was recently diagnosed with migraines due to recurrent left-sided headache.

Vital signs are normal. The exam is notable for partial aphasia rather than true confusion and a slight tremor. There is no stridor and she is handling her secretions well. There are no focal neurologic findings and tremor does not appear to be seizure-like.

This endocrine case report from Brady Pregerson, MD features a 32-year-old female with a history of polycystic ovary syndrome and diabetes who presents to the emergency department for sudden trouble swallowing, confusion, and shakiness. Can you determine the correct diagnosis? 