Differential Diagnoses: fever and altered mental status

ECG Weekly Workout with Dr. Amal Mattu


A 23-year-old woman presents to the ED with altered mental status and agitated delirium. She is noted to be tachycardic and febrile to 107F. The following ECG is obtained:

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

  1. What is your differential for fever and altered mental status?
  2. What ECG abnormalities do you notice?
  3. What is your differential for the Brugada pattern seen in V1?