Friday, 17 October 2014

ECG of the Week - 20th October 2014

This ECG is from a 70 yr old male who presented with general lethargy and postural dizziness. He has a collapse the evening prior and recently had a diarrhoeal illness.
His medications include warfarin, metoprolol, frusemide, allopurinol, colchicine and digoxin.

Vital signs on arrival in the Emergency Department were:

  • GCS 14 
  • BP 78/36 
  • RR 16
  • Temp 36.2 C

Click to enlarge

Exam Thoughts

Some things to consider give the patient's history and ECG findings:

  • What would your immediate management be ?
  • What investigations would you order ?
  • What will be the patient's disposition and likely long-term management ?

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