? blunt myocardial injury

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VERY good case!! I think you should consider writing it up.

Charlene

On Tue, Apr 1, 2008 at 12:35 PM, <joe.nemeth at mcgill.ca> wrote:

>
> 15 y.o male, prev. healthy...
> Kicked in the chest 8 hours prior to presentation...
> Feeling "funny" since...
> Besides the pulse (180-220/min), all other VS normal...
> Exam non-contributory...
> ECG attached...
>
> -maybe one prior episode of "palpitations" in the past
>
> Treatment:
>
> 1) one of : CCB/BB/Dig
> 2) electrical cardioversion
> 3) Amio
> 4) since pt. stable, wait for peds cardiology to arrive approx 2-3
> hours...("first, do no harm")
> 5) none of the above
>
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