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Hypo K

UnFiNiShEd CaSe CoMe BaCk LaTeR

History:   denies syncope, palpitations, chest pain, SOB, fever, cough or other complaints.

Exam: Vital signs are normal except

An EKG is done

 

What is the most likely cause of the EKG findings?

  • A) Hypokalemia
  • B) Pulmonary embolism
  • C) Acute coronary syndrome
  • D) Hypocalcemia

“BRADY” DOWN FOR THE EKG ANALYSIS & 1-MINUTE CONSULT

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QUIZ ANSWER< EKG ANALYSIS, CASE OUTCOME, 1-MINUTE CONSULT & CASE LESSONS: 

1) Quiz Answer:

  • A) Hypokalemia: CORRECT.  K was 1.7
  • B) Pulmonary embolism
  • C) Acute coronary syndrome
  • D) Hypocalcemia

2) EKG/Echo analysis (check out more great EKG’s from Dr. Stephen W. Smith of Dr. Smith’s ECG Blog):

3) Case Conclusion:  T   roponin-i was  (99% URL <0.030: troponin-i immunoassay, Abbott laboratories)

4) 1-Minute Consult from the Emergency Medicine 1-Minute Consult Pocketbook & Smartphone app on the topic for this case: See highlighted areas of sample page below.

5) Case Lessons: 

  1. Always
  2. Never

6) OMI Manifesto: If you haven’t yet read the OMI manifesto, you should.  It’s long but everyone should know at least the basics of why current STEMI criteria miss about 1/3 of occlusion MI’s that would benefit from emergent reperfusion and how you can pick up those patients and get them the care they need. for more information CLICK HERE

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