The Sign Of Levine, But What Does It Mean?

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The Sign Of Levine, But What Does It Mean? - Page #3

Lab Studies: Patient sent to the Emergency Department <br>High Sensitivity Troponin (normal less than 12): 21, 2-hour repeat: 17. <br>Electrocardiogram: Normal sinus rhythm. <br> <a href="CaseStudyImages/CS1TheSignofLevineBu-1184.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <br>CXR: No traumatic abnormality identified. <br> <a href="CaseStudyImages/CS2CS1TheSignofLevin-1184.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <br>Bedside echocardiogram performed and interpreted by Emergency Physician: Normal left ventricular ejection fraction, no pericardial effusion. <br> <a href="CaseStudyImages/CS3CS2CS1TheSignofLe-1184.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <br>Disposition: Discharged from Emergency Department. <br> <br> <br>6 days later (outpatient) <br>High Sensitivity Troponin: 22. <br>Radiology-Based Echocardiogram: No wall motion abnormality, no structural abnormalities. Normal study. <br>Zio Patch 24-Hour Heart Monitor: Unremarkable. <br> <br>7 days later (outpatient) <br>High Sensitivity Troponin: 10. Other Studies: See Electrocardiogram, Echocardiogram, and Zio Patch as above Consultations: Patient was seen by Sports Cardiology 6 days after his initial presentation. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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