The ‘One and Only’ Scenarios

 Scenario 1- One

Romeo: Ming, What do you think about this ECG?

Ming: Romeo, just one PVC, no worries.

Romeo: What about VT?

Ming: Then have to workup…. Ischemic vs Non-ischemic? Sustained vs Non-sustained? Hemodynamically? etc

Romeo: Ming, one PVC is ‘one-beat’ VT

Ming: Lol

Scenario 2- Only

Romeo: Ming, What do you think about the telemetry?

Ming: Don’t worry, i only see complete heart block…

Romeo: What do you mean?

Ming: Means no pause dependent VT… Only Complete Heart Block

Romeo: ……

ECG Quiz

It looks like me, sounds like me but it is not me

This 70 years old gentleman presented to A&E for Upper Respiratory Tract Infection symptoms. Denied palpitation.

Temperature 37.5
Vitals stable

Questions:

1. Kindly interpret the ECG shown above.
2. Management

Pic from Wikipedia

A 65 year old man presented with severe right sided headache for 3 weeks. This is the first episode and is associated with blurring of the vision of the right eye. MRI brain normal however ESR persistently high at 110.

What is the cause of the blurring of the right eye ?

What is the underlying cause ?

What is your next step of investigation ?

MMed & MRCP Mock Exam in Penang 19 Nov 2016 G Hotel

It has been sometime since I wrote in this blog.
Just a short msg that there will be a MMed & MRCP Mock Exam for Neurology in 19 Nov 2016. Those interested pls email me at thienthienlim@gmail.com

Thank you !

Malaysia Parkinson's Disease Conference & DBS Course

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Brand new Litmann II SE blue for sale for only RM200.
Email me if interested : thienthienlim@gmail.com

Advances in Neurology 2012 - Lots of videos which may appear in your MRCP exam !