Public Safety Training Facility
Monroe Community College
Rochester, New York
MCC Paramedic Program Case of the Month 11/00
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.
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)
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