A 30-year-old female presented to the emergency department with lethargy and weakness. Her past medical history and any further details regarding the current history of present illness were unavailable.
On examination, the patient was drowsy but arousable; vitals signs were: blood pressure 210/110 mmHg, pulse 70 beats/minute, and respirations 40/minute. The remainder of the examination was unremarkable except for an apparent A-V dialysis shunt in the left upper extremity. The electrocardiogram (ECG) is seen below:
What does the ECG show? What is your diagnosis?
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sine wave pattern due to hyperkaelemia, indication for urgent hemodialyssis...
ReplyDeleteis she ARF on CRF with Hyperkalemia..?
ReplyDeleteHyperkalaemia
ReplyDelete