Differential Diagnoses: important considerations in patients with new onset seizures or altered mental status, must know diagnoses in the emergency department
ECG Weekly Workout with Dr. Amal Mattu
HPI
A 40-year-old man is brought into the ED after being found in the street and noted to have intermittent seizures. He is tachycardic, hypertensive, and febrile. The following ECG was obtained:
Before watching the video, look closely at this ECG and ask yourself these questions:
- What axis and interval abnormalities do you notice?
- What is your differential for right axis deviation with wide QRS complexes?
- What is the most likely cause?
- How would you treat this patient?