? blunt myocardial injury

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So what was the answer, Joe?

>>> joe.nemeth at mcgill.ca 04/02/08 3:35 am >>>

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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