Indiana medicine : the journal of the Indiana State Medical Association
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Wide QRS tachycardia is a diagnostic challenge when confronted on a 12-lead electrocardiogram. The differential diagnosis includes: ventricular tachycardia; supraventricular tachycardia with aberration; and Wolff-Parkinson-White syndrome. ⋯ After careful assessment of the 12-lead electrocardiogram following selected diagnostic features, the correct diagnosis of the cause of wide QRS tachycardia can be made in about 90 percent of patients. This article contains a brief discussion of the diagnostic features of wide QRS tachycardia.
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Serious cellulitis, a common acute illness, frequently is associated with underlying venous and lymphatic compromise. The process is easily treated but, when recurrent, is associated with significant morbidity. Local measures, such as support hose and elimination of tinea pedis, have a role in its therapy but do not uniformly prevent recurrence. Prophylactic antibiotic therapy modeled after rheumatic fever prophylaxis can be effective in the prevention of this process.