Titlebook: Case Studies in Emergency Medicine; LEARNing Rounds: Lea Colin G. Kaide,Christopher E. San Miguel Book 2020 Springer Nature Switzerland AG

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,ECG Surprise Attack!:?,,ed STEMI equivalents as they portend significant potential for progression to infarctions. Though not recognized by many practitioners as an example of STEMI, the diagnostic utility of ST-segment-elevation (STE) in augmented Vector Right (aVR) has been recognized by various guiding international org

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Defibrillator Malfunction: ,, resulting in cardiac arrest or syncope and sustained VT with . with low ejection fraction, as this is a significant risk factor for developing VT (Epstein et al., Circulation. 117:e350–408, 2008). Approximately 50–75% of AICD discharges result from an appropriate device response to a malignant vent

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Disseminated Neonatal Herpes Simplex Virus: ,,rvivors have permanent neurologic issues. A majority of neonatal cases happen during birth via preexisting maternal infection. This should be distinguished from congenital herpes, which is transmitted in utero..There are three primary presentations of neonatal HSV infection. The most common form is

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Dural Venous Sinus Thrombosis: ,, clinical findings (Einhaupl et al. Eur J Neurol. 17(10):1229–35, 2010). This condition is characterized by clot formation in the deep cerebral venous circulation. The disease course results in venous congestion and can progress to include cerebral edema and increased intracranial pressure. The chal

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Endocarditis: ,,mptoms, often resembling a flu-like illness which makes diagnosis difficult. Many of these patients will present multiple times to the emergency department (ED) with symptoms. Though fever and murmur are present in the majority of cases, they may be absent at the time of initial presentation. Other

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Acute Blast Crisis/Hyperviscosity Syndrome: ,,rombocytopenia), shortness of breath, and/or neurological symptoms owing to hyperleukocytosis and subsequent leukostasis. Blast crisis with leukostasis is a Heme/Onc emergency. Treatment of symptomatic cases involves induction chemotherapy and/or leukapheresis. Asymptomatic hyperleukocytosis can be treated with hydroxyurea.

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Defibrillator Malfunction: ,,ricular arrhythmia, either VT of VF. More than 30% of patients with a history of VT or VF experience an appropriate AICD discharge for a malignant ventricular dysrhythmia within the initial 2?years of AICD implantation.