Strip Tease 13

[FL_Medic]

Also posted at Paramedicine101

I am bringing these back to the patient care forums.

What do you think?

Use the "Insert : SPOILER" tool located to the left of your reply. This will black out your answers requiring you to highlight them. Keeps the fun going for those who have yet to answer.

Highlight below:

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Edited August 7, 2009 by FL_Medic

[Kiwiology]

orignal interpretation deleted won't let me insert a spoiler

Edited August 7, 2009 by kiwimedic

[FL_Medic]

Now Kiwi, did you miss the instructions on how to Insert Spoiler?

[Kiwiology]

sinus brady w/ 2° type II (2:1) AVB

[FL_Medic]

Thanks Kiwi.

[mobey]

I agree with Kiwi

[FL_Medic]

anyone else??

[crotchitymedic1986]

2nd degree type 2

[akroeze]

My interpretation would be an untypable 2nd degree AVB

[EMS_Cadet]

You could approach this from two perspectives...

First off, I need to see a 12-lead from this pt for further evaluation.

1). This appears to be a 2nd degree AV block type II with 3:1 conduction ratio. However, this type of block almost always originates in the bundle branches which would widen the QRS (not present). So the possibility is present for type I block.

2). You might be able to force 3rd degree AV block on this, but it seems that the third P wave in each cycle does conduct. 3rd degree block is usually wide as well unless you have an escape at or above the AV junction. I just don't see av dissociation here either.

My two cents...

Edited August 8, 2009 by EMS_Cadet