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William J. Brady, MD
Articles
Weakness and Nausea in an Elderly Woman
April 01, 2006
An 86-year-old woman complains that she has felt "not at all well" for the past day. Her symptoms include diffuse generalized weakness and nausea; she denies chest pain, shortness of breath, abdominal pain, leg swelling, palpitations, and light-headedness. Five years earlier, a pacemaker was implanted as therapy for sick sinus syndrome and atrial fibrillation.
ECG Challenge: Chest Pain and Palpitations in a Young Woman
February 01, 2006
35-year-old woman presents to the emergency department with palpitations and chest pain. She is aware of her heart beating fast but not irregularly. She notes associated discomfort in the center of her chest.
ECG Challenge: Hypotension in a Man With Acute MI
January 01, 2006
56-year-old man with a history of diabetes mellitus and hypertension presents with chest pain, emesis, pallor, and diaphoresis.
Chest Pain in Woman With Recent Coronary Stent
October 01, 2005
A 66-year-old woman with a history of coronary artery disease, hypertension, diabetes mellitus, and end-stage renal disease presents to the emergency department 1 week after a coronary artery stent was placed to treat ischemic heart disease.
Syncope in a Woman With a History of Myocardial Infarction
September 01, 2005
56-year-old woman presents for evaluation of several syncopal episodes that occurred during the past 2 weeks. These episodes were associated with various activities--eating while seated, walking slowly, and standing upright--and rendered her briefly unconscious.
Weakness and Dyspnea in a Young Man
May 01, 2005
A 34-year-old man presents to the emergency department with progressive, generalized weakness and shortness of breath that began 2 weeks earlier. He has no history of cardiac disorders, and he denies chest pain, palpitations, and abdominal pain. He admits to recent methamphetamine use.
ECG Challenge: Nausea and Weakness in a Woman With Multiple Diseases
August 01, 2004
A 60-year-old woman with hypertension, diabetes mellitus, and intermittentatrial fibrillation presents with nausea, diaphoresis, dizziness, and globalweakness that has lasted 1 hour. She denies chest pain, dyspnea, syncope,vomiting, diarrhea, blood loss, and headache; there is no vertigo. Medicationsinclude acetaminophen, digoxin, diltiazem, glipizide, hydrochlorothiazide,irbesartan, metformin, pioglitazone, and warfarin.