History of Present Illness:
A man in his mid-60’s with a history of HTN and alcohol abuse is brought to the hospital by medics for generalized weakness. He says he had “a little drink”
Vital Signs & Physical Exam:
Vital signs are temp of 36.7, pulse of 55, RR of 16 and BP of 139/66. He is hard of hearing and a bit stinky
An ECG is done
Computer Read:
What is the most likely cause of ECG findings in this patient?
- A) None of the below
- B) Blood clot (PE)
- C) ACS
- D) Drug toxicity
- E) Electrolyte issue
NSWERS & 1-MINUTE CONSULT
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ECG interpretation: NSR despite bradycardic in triage, subtle Osborne J waves in all 3 inferior leads
ANSWER:
- A) None of the below – CORRECT – was hypothermic
- B) Blood clot (PE)
- C) ACS
- D) Drug toxicity
- E) Electrolyte issue
1-Minute Consult on this topic: Click HERE and scroll
CASE CONCLUSION: ECG shows slowish rate and mild Osborn J-waves. Temperature was 33.6 when repeated
CASE LESSONS: