A 67-Year-Old Man With Palpitations During Sleep

Palpitations in a 64-year-old man.

A 64-year-old man presented with several weeks of intermittent irregular palpitations. He had no prior history of cardiac disease, hypertension or syncope. A 12-lead ECG revealed sinus rhythm with premature atrial and ventricular contractions and high QRS voltages consistent with LV-hypertrophy. Cardiac MR revealed asymmetrical septal hypertrophy and marked mid-myocardial hyperenhancement of th...

A 40-Year-Old Man with Rashes and Palpitations.

A 40-year-old Singaporean Indian man with no signifi cant past medical history presented with worsening non-pruritic rashes primarily involving his limbs over a 6-month period. He also reported a near fainting episode associated with recurrent palpitations over the past few weeks. Clinical examination revealed the presence of multiple waxy yellowish-brown dermal papules and plaques over his lim...

Self-assessment corner Palpitations in a 43-year-old man

A 67-year-old man with increasingly frequent angina.

Case Presentation Present Medical History A 67-year-old white man presented to Hermann Hospital upon referral from an Austin, Tex, physician for evaluation of recurrent chest pain. Eighteen months before admission the patient first noted episodes of chest discomfort, which he described as a left parasternal sensation of heaviness or tightness variably associated with moderate physical exertion....

A 50 Year Old Man with Fever and Abdominal Pain

The patient is a 50-year-old man who has been diagnosed with abdominal pain, fever, shivering and constipation with nausea and vomiting with a possible diagnosis of typhoid. Computed tomography (CT) of the abdomen and pelvis was performed by injection of contrast agent for the patient. What is your diagnosis?