Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Case of the Month 11/00

EKG Tracing

Chief Complaint:

The patient is a 65 yo female. She is complaining of weakness. She has a history of CHF and has recently been increasing her diuretic without her physician's approval.

His VS are: P-68 and reg., BP- 120/82, Resp-20 and normal Skin color- pink, Pulse Saturation 98% on room air.

Physical Exam:

HEENT: EYES: = and reactive to light, Ears: unremarkable Nose: unremarkable Throat: no JVD

Chest: Clear to auscultation bilaterally

ABD: Soft, nontender

EXTREM: = pulses, mae well, ++ pedal edema

Based on the available data, Choose the correct items: (there are 3 correct answers)

(press the blue button)

The EKG and presentation suggest acute myocardial infarction.

This is a normal EKG and the patient should call her doctor

This clinical presentation, history and 12 lead support a presumtive diagnosis of hypokalemia.

The widespread flattening of the T waves could be caused by ischemia as well.

This patient has U waves.

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Updated: January 14, 2005