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September 2009 EKG Case An 82 year old Caucasian male with multiple medical problems including heart disease is brought into the ED from the nursing home as a medical notification. The nurse at the nursing home reports that he has a change in mental status and is moderately dyspneic. What does the EKG show and what is your diagnosis? Rate: 45 Rhythm: junctional Axis: left axis PR: absent p waves QRS: borderline wide 0.12-0.14 ST: no elevation or depression, U waves in V1 thru V4 EKG Diagnosis: Junctional rhythm Clinical Diagnosis: Altered mental status secondary to cardiac arrhythmia decreased cardiac output decreased brain perfusion.
Trivia: As per Master Yoda, what 3 things feed the dark side of The Force?
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