Want to review first? Great ECG learning modules at mededportal.org here (use AAMC log-on to download zip file; unzip, and then to play .swf files, drag them onto any internet browser window) or watch Part 1 and Part 2 pedscases videos. Or, if you want to go deeper, review at Life in the Fast Lane here


ECG 5: 9yo girl with 1 month of intermittent fevers, fatigue. No cough, SOB, vomiting, headache, joint pains. Saw PMD 2 weeks ago and diagnosed with viral syndrome. Saw again 2 days ago and had CBC, CMP, ESR, UA – all unrevealing. Comes into ED with c/o syncope. No pets, only recent travel is a week of local summer camp 2 weeks prior to onset of symptoms. Negative PMH, FH.



ECG 4: 7yo with known WPW, h/o previous SVT treated with adenosine successfully, alert but c/o chest discomfort, BP 84/34. Is it OK to give adenosine? Verapamil?



ECG 3: 16yo boy involved in auto vs. bike accident, c/o left chest pain. CT showed left 1st and 3rd rib fractures, large left pneumothorax, left pulmonary contusion.



ECG 2: 11yo girl brought in by ambulance from school; ran 3 laps in P.E. and felt dizzy, sat down and loss consciousness, no tonic-clonic activity but did have urinary incontinence…



ECG 1: 16yo male h/o aortic coarctation repair with residual mitral stenosis, hasn’t seen a cardiologist in 6 years. Presents with weakness, dizzyness…                     Discussion