New Interactive Medical Case

Posted by Karen Buckley • April 14th, 2010

Manage this patient’s case from presentation to outcome when you try our latest Interactive Medical Case, The Beat Goes On.

A 45-year-old white man was brought to the emergency room by emergency medical services personnel after a syncopal event. He did not report any chest pain. He was found to have a monomorphic, wide-complex tachycardia at a rate of 240 beats per minute, with a blood pressure of 110/50 mm Hg. Amiodarone was administered without effect. His systolic blood pressure subsequently fell to 70 mm Hg. Electrical cardioversion with procedural sedation was performed, and sinus rhythm was restored.

As you proceed, you will be guided through the patient’s clinical developments and presented with detailed videos and graphics from lab and radiologic tests. Multiple-choice questions throughout allow you to test your diagnostic and therapeutic skills. Once a choice is made, you receive immediate feedback on your decision.

Interactive Medical Cases are based on our popular Clinical Problem-Solving series. You may later read the full Clinical-Problem Solving report. CME credit is available.

Try our previous Interactive Medical Cases: Painful Purple Toes, A Crisis in Late Pregnancy, A Bloody Mystery, and The Writing on the Wall.

One Response to “New Interactive Medical Case”

  1. Concerning the Interactive Medical Case published on The Journal issue of April 14, 2010 I would like to outline some discrepancies between case description and Questions & Answers requested. Interactive decriptions of physiopathological Heart Failure Classifications are well integrated with classical signs and symptoms, as well’s ECG, ECO, TC and MRI teaching examples, that would help us to remember and refresh our medical and scientific knowledges.
    However answers regarding both the laboratory exams and therapeutic approaches can be considered equivocal and anyway topic of further discussions. In particular concerning the Clinical diagnosis of Myocadial Sarcoidosis here presented, I would like to oulined the indications of Endomyocardial Biopsy for diagnostic pourpose and Implantable Cardioverted Defibrillation as primary therapeutic choice.
    I understand that from a teaching point of view it’s not so simple to put togheter clinical and scientific evidences about a so multiform disease; however I think we should make our choices in Interactive Medical Case limited to clearly defined pathologies or make more flexible answers choice selection.

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