ECG diagnosis

[CAP]

Interpretation and treatment?

82 Y/O M, C/O CP.

Initial BP 139/67, HR 95, 94 RA, RR 20.

[ERDoc]

Neurosyphilis. Treat with 100mg IV methylethylbadshit

[Ownbeycfd]

MONA. and looks like possible anterioseptal

[HellsBells]

MONA, right... That's some textbook medicine.

[systemet]

So.....

The ECG looks nondiagnostic. There's not much information provided. I'd like to know a little more about the H&P to get an idea of whether this is potentially ACS, because a description of "chest pain" without any clarification leaves a lot of ddx on the table. It might be nice to risk-stratify this patient.

If there's a reasonable suspicion of ACS, then some biomarkers might be helpful, and might direct us towards transporting to an ICU-capable site.

[Just Plain Ruff]

Wait a second, that's my EKG, where did you get that from?

[arytmica]

BT's good, so let's try nitro, effect/no effect? No specific findings at the ECG so let's give the patient a ride to the ER for checkup and blood-samples...

[JB43]

MONA: Morphine, Oxygen, Nitroglycerine, Aspirin.

Not necessarily in that order.

And a quick ride to ER.