Stress and Burnout
Stress is endemic at the moment – the NHS is widely known as being a very difficult environment to work in, and doctors seem to be either...
Inferior-lateral M.I. With QRS Fragmentation
SUBTLE ST CHANGES This ECG was obtained from an 87-year-old man who was experiencing chest pain. Due to the subtle ST elevation in...
The Basics of ECG Interpretation (Part 2 – Rate, Rhythm and Axis)
The ECG Tracing In Part 1 of ‘The Basics of ECG Interpretation’ we learnt that the ECG is simple diagnostic test that records the...
Upper Limb Nerve Lesions (Part 3 – The Median Nerve)
In Part 2 of our ‘Upper Limb Nerve Lesions’ series we learnt about the radial nerve and the most commonly occurring lesions associated...
Early Repolarization
This ECG was obtained from a healthy 29-year-old man. It shows "benign early repolarization". It demonstrates the typical pattern of...
Wolff-Parkinson-White Syndrome
Here is a good example of an ECG showing the signs of Wolff-Parkinson-White syndrome during normal sinus rhythm. WPW is one of the...
The Basics of ECG Interpretation (Part 1 – Anatomy and Physiology)
What is an ECG? The electrocardiogram, or ECG, is a simple diagnostic test which records the electrical activity of the heart over a set...
Acute Respiratory Distress Syndrome
Background Since World War I, it has been recognized that some patients with nonthoracic injuries, severe pancreatitis, massive...
Right Bundle Branch Block
This ECG is from a 59-year-old man who was a patient in the Emergency Department with mild chest pain. He had a history of coronary...
Spontaneous Ankle Pain After a Course of Antibiotics
A 62-year-old man presents with pain in the back of his right ankle. He was walking to the shops when he suddenly heard a loud ‘snap’. He...