STAT ECG Diagnoses: the value of ECGs in acute neurological emergencies
ECG Weekly Workout with Dr. Amal Mattu
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:
Before watching this week’s video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is the most likely cause of the patient’s symptoms?
- How would you treat this patient?
