Common Complaint, Uncommon Diagnosis: Palpitations In A Female Collegiate Basketball Player

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Common Complaint, Uncommon Diagnosis: Palpitations In A Female Collegiate Basketball Player - Page #3

Lab Studies: Basic Metabolic Panel: Normal <br>Magnesium: Normal <br>Phosphorous: Normal <br>Complete Blood Count: Normal <br>Thyroid Stimulating Hormone: Normal <br>Free T4: Normal <br>Urinalysis: Normal <br>Urine Human Chorionic Gonadotropin: Negative <br>Urine Drug Screen: Negative Other Studies: Electrocardiogram: Rate 119, PR 204, QRS 82, QTc 383, Axis normal. Findings consistent with Multifocal Atrial Tachycardia. <a href="CaseStudyImages/CS1CommonComplaintUn-150.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>Holter Monitor: Premature Ventricular Contractions. <br>Electrophysiology Study: Atrial Tachycardia with arrhythmogenic foci. <br>2-Dimensional Transthoracic Echocardiogram: Short axis view of left ventricle. Abnormal trabeculae present in left ventricular myocardium with increased ratio of noncompacted to compacted myocardium. <a href="CaseStudyImages/CS2CommonComplaintUn-150.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br>Cardiac Magnetic Resonance Image (obtained due to abnormal echo): Increased ratio of noncompacted to compacted myocardium in the left ventricle. Consultations: Cardiology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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