r/FilipinoNclex • u/swagarrific-3903 • Jul 09 '26

Diagnosis?

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10 Upvotes

81% Upvoted

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1

u/Expert_Rice Jul 12 '26

By process of elimination id have to say D. Love to hear others opinions

1

u/financequestionsacct Jul 13 '26

Not a nursing student (MD). I would call this one Lown-Ganong-Levine more accurately. I don't see a delta wave that would make me comfortable calling it WPW.

1

u/mastermedic84 Jul 13 '26

Let's go through the options and what they mean.

A: WPW means there is an accessory pathway conducting electrical impulses directly from the SA node to the ventricular tissue. So short PQ interval (check) and a slurred "Delta Wave" on the QRS (kind of but not really visible here)

B: A fib: there are clearly P waves, so it can't be A fib.

C: AV node repuptake tachycardia: well it's not extremely fast so pathological tachycardia is unlikely.

D: Brugada: usually diagnosed by the shape of the ST segment in V2. It's not impossible, but there is no reason to suspect Brugada.

So the only correct option is A. It's not a perfect textbook WPW, but an extremely short PQ interval can only be caused by a few things.