Interesting ECG of hypokalemia......pptx

Hypokalemia interesting ECG

1. ECG OF THE WEE K By M2 UNIT UNIT CHIEF PROFESSOR DR VETRIVEL MD., ASSISTANT PROFESSORS: DR KAVITHA MD., DR NARESH KUMAR MD., Presentor : Dr AZARUDEEN (GM- pg resident)

2. History of presenting illness.. A 60 Year old female was referred from private clinic with the complaints of, Chest pain x 3 days Retrosternal Associated with profuse sweating No history of breathlessness/palpitations Patient was apparently normal before 2 weeks, then patient had complaints of vomiting, loose stools, abdominal pain & yellowish discoloration of urine for which taken native treatment as jaundice

3. Past History: K/C/O T2DM-not on treatment K/C/O Residual polio weakness of Left LL Not a k/c/o HTN/CAD/CKD/EPILEPSY Vitals: BP-100/60mmHg in Right arm in supine position, PR-96bpm, spO2-98% in RA, CBG-308mg/dl

4. O/E: pt conscious, obeys commands, afebrile Pallor + No icterus No clubbing No pedal edema No generalised lymphadenopathy Dehydration ++

5. S/E: CVS-S1S2+, No murmur RS-BAE+, No added sounds P/A-Soft, BS+ CNS- conscious, oriented, Power- RUL 4/5 LUL 4/5 RLL 3/5 LLL 2/5 B/L plantar- flexor B/L pupils 3.5mm RTL No neck muscle weakness

6. ROUTINE INVESTIGATIONS SENT… CBC RBS, RFT LFT SERUM ELECTROLYTES TROP-T

7. ECG-OPEN FOR DISCUSSION