6/13/14 EKG #10…this one is scary

by andygrock • June 13, 2014 • 5 Comments

Brought to you by Dr Andrew Grock and Dr. Elizabeth Abram. Supervised by Dr Martindale.

A nurse brings you the following EKG to sign. You go to the patient’s bedside:

63 yo F, pmhx dm/htn, here for epigastric pain, vomiting, dizziness x 4 hours. She is diaphoretic and reporting active pain and nausea at this time.

To win the week’s prize please provide the following:

1. Full interpretation of ekg including rate, rhythm, axis, intervals, st-t segments, t- wave interpretation, other

2. Please explain pathophysiology of the ekg abnormality or abnormalities featured above

3. Please provide the appropriate sequence of treatment actions in caring for this patient.

4. Which common treatment for this problem is contra-indicated?

The answer will be posted next Friday!

The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.

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andygrock

Resident Editor In Chief of blog.clinicalmonster.com.
Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
Resident at Kings County Hospital