MedBugs: SAQ #384

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Case: Resolved chest pain

You are the morning consultant in a rural hospital reviewing a 50-year-old male who self-presented overnight with recently resolved chest pain on a background of hypertension and hypercholesterolaemia. He has been treated with aspirin and his pain-free ECG is shown.

1. State four key features of this ECG. 4 marks

2. State your most likely diagnosis and the underlying pathology. 2 marks

The patient’s troponin on arrival was negative and he was referred to the medical team by your overnight registrar. The medical registrar has asked that the patient be admitted directly to a non-telemetry bed on the ward as he is troponin negative and pain free. His current observations are : HR 85, BP 175/95, RR 16, Sats 98%RA

3. List six further actions you would undertake with the information provided. 6 marks

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Case: Resolved chest pain

1. State four key features of this ECG. 4 marks

2. State your most likely diagnosis and the underlying pathology. 2 marks

3. List six further actions you would undertake with the information provided. 6 marks

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