In most cases, your blog readers will tell what they need if you just listen to them. For example:

Anonymous said (partially edited for grammar):

“It’s wonderful the effort you make in making doctors to be up-to-date with the technology, the suggestion I have for you though is, since a good number of your readers could be either residents or medical students like me, please could you also post some clinical scenarios that are dedicated towards solving clinical problems on a weekly basis, this is just my suggestion. Thank you”

My response was:

“Great idea. Will implement it — “Case of the Week” should be available as a regular feature next month. Thank you for the suggestion.”

The first case in the Case of the Week series is linked below:

Atrial fibrillation with rapid ventricular

response due to central line placement

A young female with DM type 1 was admitted to the hospital with an infected right diabetic foot ulcer. She needed IV access and failed several peripheral line attempts. A right internal jugular central line was and she immediately complained of shortness of breath and palpitations.

What is the most likely diagnosis?


Triple lumen catheter (TLC) at the right atrio-ventricular (AV) junction on CXR.


Atrial fibrillation (AFib) with rapid ventricular response (RVR) due to a TLC at the right atrio-ventricular (AV) junction.

See what happened next in Atrial fibrillation (AFib) with rapid ventricular response (RVR) due to central line placement from Clinical Cases and Images.

Original post by noreply@blogger.com (Ves Dimov, M.D.)

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