Hyperkalemia: Difference between revisions
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{{Case | {{Case | ||
|Title = | |Title = Not an MI | ||
|CasePresentation = A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography.No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below. | |CasePresentation = A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography. No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below. | ||
|Courtesy = M. Meuwissen, MD, PhD, AMC, The Netherlands | |Courtesy = M. Meuwissen, MD, PhD, AMC, The Netherlands | ||
|filepointer1=[[File:DRJ_case_2_1.png|300px]] | |||
|filepointer1=[[File: | |||
|file_name1= | |file_name1= | ||
|descriptionfile1=Admission ECG | |descriptionfile1=Admission ECG | ||
|filepointer2=<flash>file= | |filepointer2=<flash>file=MM0112.swf|quality=best|align=center|width=300|height=300</flash> | ||
|file_name2= | |file_name2=MM0112 | ||
|descriptionfile2=Right coronary artery | |descriptionfile2=Right coronary artery | ||
|filepointer3=<flash>file= | |filepointer3=<flash>file=MM0111.swf|quality=best|align=center|width=300|height=300</flash> | ||
|file_name3= | |file_name3=MM0111 | ||
|descriptionfile3=Left coronary artery | |descriptionfile3=Left coronary artery | ||
|filepointer4=[[File: | |filepointer4=[[File:DRJ_case_2_4.png|300px]] | ||
|file_name4= | |file_name4= | ||
|descriptionfile4= | |descriptionfile4=Follow-up ECG | ||
}} | }} | ||
Latest revision as of 15:58, 29 April 2010
| Case description: A 58 year old man was admitted to the hospital with diabetic ketoacidosis. He had no previous cardiovascular history. He had been vomiting for 6 hours. On exam he was dehydrated and had a ketotic smell. Blood tests: pH of 7.2, Sodium 129 mmol/L and potassium 6.9 mmol/L, glucose 45 mmol/L. His admission ECG is shown below. The patient was referred for immediate coronary angiography. No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below. | |
| Courtesy of: M. Meuwissen, MD, PhD, AMC, The Netherlands | |
| File:DRJ case 2 1.png | <flash>file=MM0112.swf |
| Admission ECG | Right coronary artery |
 enlarge | |
| <flash>file=MM0111.swf | File:DRJ case 2 4.png |
| Left coronary artery | Follow-up ECG |
| enlarge |
|
