ECG Challenge: A 90-Year-Old Woman with Intermittent Lightheadedness

ECG Challenge: A 90-Year-Old Woman with Intermittent Lightheadedness

The patient is a 90-year-old woman who presents to urgent care with a 2-week history of intermittent lightheadedness. She denies syncope, chest pain, shortness of breath, diaphoresis, or focal neurological symptoms. Upon exam, you find: General: Alert and oriented X 3, sitting fully dressed in a chair Lungs: CTAB Cardiovascular: RRR without murmur, rub, or gallop Abdomen: Soft and NT, no pulsatile mass Ext: No peripheral edema, pulses are 2+ and equal in all extremities …

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An 18-Year-Old Male with Chronic Back Pain

An 18-Year-Old Male with Chronic Back Pain

An 18-year-old male visits your urgent care center for the first time, complaining of chronic lower back pain. He offers no explanation of its onset, but reports (upon being asked about his typical activities) that he is a linebacker on his high school football team and a heavyweight on the wrestling team.  View the image taken and consider your next steps, along with possible diagnoses.

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