Congratulations Dr. Grundmann! The ECG shows T-wave inversions with prominent U-waves in leads V3-V6, and less prominent in leads II, II, aVF. The QT interval is also prolonged. All signs pointing towards hypokalemia. This patient’s potassium level of 2.3 mEq/L. With the patient’s history of weakness following exertion and his Read more…
On a sunny mid-afternoon day, a 31 year old male presents to the ED after falling down a flight of steps and complaining of LE weakness. Exam significant for LE strength 4/5 proximally and 5/5 distally. Pt had a carbohydrate loaded dinner the night before and ran a 5K the Read more…
Congratulations to both responders who weren’t fooled for a second! This month’s winner is Dr. Nico Grundmann with honorable mention to Dr. Brenda Oiyemhonlan! Onto the ECG A bifascicular block with a possible (i.e. incomplete) underlying trifascicular block. What makes it “possible” instead of definite? Clear evidence of Read more…
Happy New Year to All! Now, back to business… A 71 year-old male with past medical history of CAD and CHF (last known EF 10%) is sent by his PMD for progressive shortness of breath, dyspnea on exertion, and lower extremity edema. Just as you sit down to finally catch Read more…