HPI: A 54-year-old male presented to the emergency department with inability to walk for 3 days s/p appendectomy. He reports feeling ill and generally weak. He denies abdominal pain, fever, nausea, vomiting, or diarrhea.  He is found to have generalized marked weakness, hyporeflexia, urinary retention, and a sensory deficit below T10. The following ECG is obtained:

Case ECG

 

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is the most likely cause of the patient’s symptoms?
  3. How would you treat this patient?

 

 

Key Teaching Points

 

 

 

 

Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

Kudos: Big thanks to Drs. Nicolás Pineda, Christian Hohmann, & Nicholas Grant for sharing their case this week.