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    The document describes 5 electrocardiograms (ECGs). ECG 1 shows normal sinus rhythm with a heart rate of 65 bpm and no abnormalities. ECG 2 shows atrial fibrillation with a heart rate of 115 bpm and irregular rhythm. ECG 3 shows ventricular tachycardia with a fast heart rate of 167 bpm and a broad QRS complex. ECG 4 shows Mobitz type 1 second degree atrioventricular block with a heart rate of 60 bpm. ECG 5 shows hyperkalemia with a heart rate of 85 bpm, peaked T waves, and ST elevation in lead V2.

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    The document describes 5 electrocardiograms (ECGs). ECG 1 shows normal sinus rhythm with a heart rate of 65 bpm and no abnormalities. ECG 2 shows atrial fibrillation with a heart rate of 115 bpm and irregular rhythm. ECG 3 shows ventricular tachycardia with a fast heart rate of 167 bpm and a broad QRS complex. ECG 4 shows Mobitz type 1 second degree atrioventricular block with a heart rate of 60 bpm. ECG 5 shows hyperkalemia with a heart rate of 85 bpm, peaked T waves, and ST elevation in lead V2.

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    12 views3 pages

    Ecg + Decision Tree

    Uploaded by

    sab220991
    The document describes 5 electrocardiograms (ECGs). ECG 1 shows normal sinus rhythm with a heart rate of 65 bpm and no abnormalities. ECG 2 shows atrial fibrillation with a heart rate of 115 bpm and irregular rhythm. ECG 3 shows ventricular tachycardia with a fast heart rate of 167 bpm and a broad QRS complex. ECG 4 shows Mobitz type 1 second degree atrioventricular block with a heart rate of 60 bpm. ECG 5 shows hyperkalemia with a heart rate of 85 bpm, peaked T waves, and ST elevation in lead V2.

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    of 3

    You are a young doctor, what you see in the ECG???

    Please specify:
    - heart rate, - heart rythm, - any possible abnormal condi7ons

    ECG 1.

    ECG 1: NORMAL SINUS RHYTHM

    Heart rate 65 bpm, normal sinus rhythm, no significant abnormali7es

    ECG 2.

    ECG 2: ATRIAL FIBRILLATION with junc%onal Tachycardia [need a longer/clearer rhythm strip :( ]

    Heart rate 115 bpm (need longer rhythm strip!), irregular rhythm, abnormal p waves
    ECG 3.

    ECG 3: VENTRICULAR TACHYCARDIA

    Heart rate 167 bpm - chao7c ECG result difficult to dis7nguish p waves, broad QRS complex (360ms)

    ECG 4.

    ECG 4: MOBITZ type 1 - Second degree AV block

    Heart rate 60 bpm

    ECG 5.

    ECG: HYPERKALAEMIA

    Heart Rate: 85bpm, hyperkalemia peaked T waves, slight ST eleva7on in lead V2

    DECISION TREE ANSWERS:

    1. D - medical history and vitals

    2. B - immediately monitor, fluid resus and o2 therapy

    3. A - physical examina7on immediately

    4. C - PET CT (would probably much rather do an abdominal and chest X-ray with bloodwork rather
    than PET-CT but that was not an op7on - I think this case is gastric ulcer mimicking GI malignancy)

    5. B - Admit to gastroenterology

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