Monday, February 26, 2007

Viz D 2/26/2007 ECG Challenge

A 41-year-old man with a known history of ethanol abuse is brought to the emergency department after being found on the street by EMS workers. Upon presentation, the patient's eyes are closed, he is moaning, and does not follow commands. Below is his ECG.

(click on ecg to enlarge)
1. What is the most likely diagnosis given the clinical scenario?
2. Name 3 conditions that can lead to this patient's diagnosis?
3. True or False -- Atropine should be used to increase the heart rate?

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1 comment:

latchkeykidd said...

1. Accidental hypothermia
2. Hyperkalemic periodic paralysis, Shapiro's syndrome, protein energy malnutrition (PEM); in this patient, the most likely contributor is ethanol intoxication
3. False (transvenous pacing should also be avoided)