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Old 10-30-2009, 05:22   #1
Tatonka316
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I agree with PedOncoDoc - looks like Mobitz Type II to me as well
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Old 10-30-2009, 19:22   #2
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Quote:
Originally Posted by Brush Okie View Post
I havent looked at EKG's for years now.

It looks like the P wave interval is very long and he is going in and out of A fib. Hard to tell without calipers etc. It looked like mobitz into a fib then back. Any chance he has some type of un DX'd problem like wolf parkinsons white syndrome?
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Unknown if he had any un DX'd problem. He said he didn't have any real past medical history, but that is an interesting possibility.


Quote:
Originally Posted by PedOncoDoc View Post
Prints 2-4 from the second post definitely look like 2nd degree type 2 Moebitz to me with the lengthening PR interval followed by a dropped QRS. Can't be 3rd degree as the R-R and P-P intervals are not consistent and unmatched. The first post didn't seem to catch the rhythm.
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Originally Posted by Tatonka316 View Post
I agree with PedOncoDoc - looks like Mobitz Type II to me as well
Doc and Tatonka:
Thanks for the clarification. This is something that we don't really see all that much, so that's why we were stymied.

If we get a chance to get back to the Hsp, we'll try and get a follow up. Didn't get a chance today, but I'm sure we'll have an opportunity tomorrow.
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Old 10-31-2009, 19:20   #3
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Got a chance to do a follow up on this Pt. today. He's currently on a Tele floor at the hospital we transported him too. They are going to keep him over the weekend for further obs.

They confirmed a Right BBB. He was still having runs of Tachycardia while on the Tele floor. While we were there, he was showing a rate of 110 while laying in bed. 41 years old with a RBBB ...... WOW.

We left our information with the nurse, if anything new comes up, and if it does, I'll pass it along.
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Old 10-31-2009, 21:13   #4
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I cant even spell EKG any more....
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Old 11-01-2009, 13:23   #5
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I cant even spell EKG any more....
Billy,

You must have gotten your medical training from Dozer...................

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Old 11-01-2009, 21:40   #6
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their positive that it was a rbbb instead of a lbbb? v1 shows a downward qs complex which usually indicates a lbbb. interesting 12 lead though, was anyone able to do a 15 lead?
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Old 11-01-2009, 22:26   #7
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Billy,You must have gotten your medical training from Dozer...................

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