59M presented to ER directly from cardio clinic as a f/u con | Figure 1

MSarto

Registered Nurse

59M presented to ER directly from cardio clinic as a f/u consultation. Was transfered to ER with decreased urine production despite receiving Lasix 80mg in clinic. Slight hypotension with MAP 62, afeb.. SOBOE and supine. Noted ascites w/ lower extremity pitting edema 2+. Trop (+), GFR 25. Diminished bibasilar sounds R>L, with coarse crackles. ØCP, Øpalp. PMHX DM II, HTN, MI x 2 (stented), hypercholesterolemia, hypothyroidism. What do you see on this EKG (interpret the EKG in detail)? What can account for all these symptoms? Let's brainstorm some Dx and DDx. (If I get an old EKG ill post it)

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