A.) Anterior MI
B.) Anteroseptal MI
C.) Anteroseptal MI with ostial LAD occlusion
D.) Brugada syndrome
E.) Inferior MI
F.) Inferolateral MI
G.) Inferolateral – posterior MI
H.) Posterior MI
I.) Right ventricular MI
J.) Wellens syndrome
For each ECG select the most appropriate diagnosis.
Ref: ECG in Emergency Medicine and Acute Care p. 63, 67 & 68, 178, 179
A.) Aortic stenosis
B.) Flow murmur of ASD
C.) Hypertrophic cardiomyopathy
D.) Mitral regurgitation
E.) Pulmonary stenosis
F.) Severe aortic stenosis
G.) Tricuspid regurgitation
H.) Ventricular Septal Defect
For each patient’s examination findings select the most likely systolic murmur
- An 80 year old female presents with shortness of breath. On exam she has an anacrotic, small volume radial pulse, JVP not raised with an apex beat that is pressure loaded, displaced laterally with a systolic thrill.
- A 65 year old man presents with shortness of breath. On exam he has is peripherally cyanosed, has a weak radial pulse, raised JVP with giant a waves and on palpation he has a right ventricular heave and thrill over the base.
- A 23 year old man presents with shortness of breath. On exam he has a sharp rising and jerky radial pulse, a raised JVP with big a wave and double impulse on palpation of his precordium.
- A 75 year old man presents with shortness of breath and fatigue. On exam he his radial pulse has a sharp upstroke, his JVP is slightly raised and on palpation he has a laterally displaced a diffuse apex beat with a thrill at the apex.
- An 80 year old woman presents with severe shortness of breath, exertional chest pain and a syncopal episode. On examination she has a weak plateau radial pulse, normal JVP, a displaced and pressure loaded apex beat with a thrill over the base.
Author: J Haire
Ref: Tally & O’Connor Clinical Examination p. 68-77