Complex uninterpretable electrocardiogram and syncope

Electrocardiogram(ECG) is an essential component as diagnostic modalities in cardiovascular diseases. A wide spectrum of diseases can be diagnosed by ECG. Conduction disturbances manifest in ECG with characteristics manner. Sometimes these manifestations are not interpretable with the current concept of cardiovascular physiology. Here I have reported such an interesting ECG which is complex and difficult to interpret

A case of severe hypothyroidism presenting only with bleeding diathesis.

Hypothyroidism can present with the variety of clinical features; however, bleeding manifestations as a sole presentation of hypothyroidism is extremely rare. Hemostatic disorder may be a manifestation of several underlying etiology. Here, we report a case of a 14 year old girl who initially presented with bleeding diathesis without any other symptoms suggestive of thyroid dysfunction but later on investigations was found to be suffering from severe hypothyroidism.