With less than a week to go until the close of 2022, our editorial team is kicking off the final week of the year by recapping some of our most popular stories and content from the past year. Here, we are highlighting our most popular case reports from Brady Pregerson, MD, from the past year. Below, you will find a brief recap of each patient history, the ECG associated with the case report, and a link to find the final diagnosis!

Top Case Reports of 2022

Case Report: Shortness of Breath and Tachycardia

History: A man in his mid-60’s with a history of lung cancer presents to the hospital with progressive worsening SOB for 2 months but especially in the past 1 week.

Cardiology Case Report: Epigastric Pain

History: You get sign out at 6 AM, and one of the patients is a man in his mid-40’s who presented with epigastric pain. He has normal GI labs but is pending an ultrasound with a plan for discharge home if normal. The ultrasound comes back normal, so you go and speak with him. He states that the pain started around 11 PM and peaked around midnight. It was constant and wasn’t getting any better until the nurse gave him an antacid a few hours ago which really seemed to help. He denies any shortness of breath, sweating, nausea, vomiting, chest pain, or other complaints.

Cardiology Case Report: Early Morning Chest Pain

History: A patient in their mid-70s presents to the hospital with chest pain since 2 AM that became constant at 5 AM and made him vomit. The pain radiates to the back and is pleuritic, but only mildly so. He denies syncope, palpitations, SOB, leg swelling or pain, fever, cough or other complaints.

Case Report: Slow AFib?

History: An elderly male with a past medical history of diabetes and stage 5 chronic kidney disease is brought to the hospital by medics with 2 days of nausea, vomiting and generalized weakness. He denies any chest pain, difficulty breathing, fever, chills, abdominal pain, diarrhea, melena, or other complaints. He has a dialysis fistula but has not yet started dialysis. His home medications include losartan, amlodipine, Lasix, sitagliptin, and Plavix.

Cardiology Case Report: Pleurisy

History: A woman in her early 60s presents to the hospital with pleuritic midsternal pain radiating from left to right and to left upper back. She has mild SOB but no fever, cough, leg symptoms, or other complaints. She denies syncope, palpitations, or other complaints.