ECG Weekly

Weekly Workout · #523 · January 6, 2025

Paralysis Unmasked: ECG Clues That Saved the Day

HPI

A 45-year-old woman with PMHx of HTN, DM, ESRD (MWF hemodialysis) presents with acute weakness of all extremities. She reports feeling normal and fully functional before going to bed the night before and woke up unable to move any of her extremities. She is noted to be bradycardic on exam, with dense paralysis of all extremities. The following ECG is obtained:

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