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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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