20-05-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[19-05-2025 15.41] PPM 1: Afternoon session:
68M admitted in general surgery for scrotal swelling later transferred to General medicine once they realised it was heart failure anasarca as his echocardiography showed reduced ejection fraction and regional wall motion abnormalities.
@PPM3 please check out the voltage rise in the ecg after two days with progressive changes of deep T wave inversions suggestive of progressive ischemia although it was painless as in silent ischemia.
The question for Web 3.0 is what are the other reports of a similar occurrence of voltage rise due to acute myocardial ischemia@PPM4
While having an offline blended learning session here by the patient's bedside right now, we did a Web 2.0 google although must say it was more of 3.0 as Gemini helped, we found this article which appears to agree that this kind of an ECG change has been described before and we are not the first one to notice it.👇
