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Crit-Cases

A 43 yr old farmer presents to your hospital with dyspnoea, and palpitations. On examination he is awake, respiratory rate 24 breaths per minute, heart rate 110 bpm, blood pressure 100/60 mmHg, with bibasal creps to midzone.

Answer the following questions

Question 1
Question 2
Question 3
Question 4
Question 5

Describe the abnormalities seen on this ECG. How would you manage this rhythm?

Patient is transferred to the CCU. After 24 hrs his biochemistry is as follows. List the abnormalities.

Related Media:

Biochem 1

Describe the abnormalities. What are the possible causes of these abnormalities?

Related Media:

Biochem 2

A trans-oesophageal echocardiograph is performed. Describe the views provided, and outline the findings

Related Media:

TOE Loop 1 TOE Loop 2 TOE Loop 3

The patient is ventilated and requiring hemodynamic support with inotropes and vasopressors. List the investigations you would perform to determine the aetiology of this process.