Visual EM

Acute Pericarditis: Electrocardiogram

Jason Mefford, MD^* and Shannon L Toohey, MD^*

DOI: https://doi.org/10.21980/J8059QIssue 1:1[mrp_rating_result]

The ECG shows diffuse ST- elevation. The patient also has mild PR-depression, most notably in the inferior and lateral leads. The patient also has minimal PR elevation in lead aVR. The patient was diagnosed with acute pericarditis (ECG stage 1).

Cardiology/Vascular Visual EM

Thompson Test in Achilles Tendon Rupture

Spencer Albertson^* and Megan Boysen Osborn, MD, MHPE^*

DOI: https://doi.org/10.21980/J8VC7SIssue 1:1[mrp_rating_result]

The left Achilles tendon had a defect on palpation, while the right Achilles tendon was intact. When squeezing the right (unaffected) calf, the ankle spontaneously plantar flexed, indicating a negative (normal) Thompson test. Upon squeeze of the left (affected) calf, the ankle did not plantar flex, signifying a positive (abnormal) Thompson test. The diagnosis of left Achilles tendon rupture was confirmed intraoperatively one week later.

Orthopedics Trauma Visual EM