- 35y/o ID user, right upper quadrant pain, peripheral oedema, ascites, pulsatile liver, pansystolic murmur at LSB
- 75y/o man, dyspnoea, chest pain, tachycardia, agitated. Blood gas = low arterial O2, low CO2. ECG = S wave in I, Q and T waves in III, T wave inversion in V1-3
- 60y/o woman, hoarseness, smoker, HR = 44. ECG = sinus rhythm, reduced amplitude of P, QRS and T in all leads
- Young patient with angina at rest, ST-segment elevation and normal cardiac enzymes
- 50y/o man, fever + chest pain, hx angina. ECH = concave elevation of ST-segments in leaves II, V5-6. Cause?
- 40y/o man, prosthetic heart valve on warfarin, presents w/ haematuria. INR = 4. Withhold Warfarin and then what?
- 40y/o man, fainted during workout, harsh mid-systolic, crescendo-decrescendo murmur in aortic area radiating to carotids
- 40y/o man, inspiratory chest pain 2 months post-MI, friction rub heard. ECG = ST-elevation
- Diagnostic test for pulmonary embolism
- 55y/o woman, bradycardia, asymptomatic. ECG = no relationship between atrial and ventricular rhythm, wide QRS. TX?
- Rumbling diastolic murmur at apex. Accentuated during exercise
- 40y/o woman, hx angina, 30m severe chest pain, bradycardia, hypotensive. ECG = 3rd degree heart block. 1st drug to give?
- 20y/o woman, BP170/100m inpalpable peripheral pulses, systolic murmur above and below clavicles, diminishing vision and syncopal episodes. ESR=50.
- Anti-HTN for diabetic patient with proteinuria
- 25y/o heroin addict, fever, mucosal petechial haemorrhages, pansystolic murmur @lower sternal edge, small flat erythematous non-tender macules
- 30y/o man, substernal chest pain +SOB. Loud systolic ejection murmur, increased by Valsalva
- 33y/o woman, Marfan's, fixed wide split of S2. ECG = partial right bundle branch block, right axis deviation, RVH
- 65y/o woman, SOB, chest pain, irregularly irregular pulse, 180bpm. ECG = AF. Given O2. What next?
- 55y/o man, T1DM, HTN, normal blood tests. TX?
- 65y/o man, acute MI, new LBBB. Haemorrhagic stroke 1yr ago. Given O2, diamorphine, metoclopramide, GTN, aspirin. Next step?