When the factory shuts down
| Autor: | Renate Stevens-Stolmeijer, Heleen Lameijer, Majoline J W van den Broeke-Vos, Marion G Borgstede |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Diabetic ketoacidosis Neurological examination Physical examination Hypothermia Unconsciousness Critical Care and Intensive Care Medicine Kussmaul breathing Diabetic Ketoacidosis Diagnosis Differential 03 medical and health sciences Electrocardiography 0302 clinical medicine Internal medicine Heart rate medicine ST segment Humans Hypoglycemic Agents Insulin 030212 general & internal medicine Confusion medicine.diagnostic_test business.industry Malnutrition 030208 emergency & critical care medicine General Medicine Middle Aged medicine.disease Anti-Bacterial Agents Blood pressure Dyspnea Emergency Medicine Cardiology medicine.symptom business Altered level of consciousness |
| Zdroj: | Emergency medicine journal : EMJ. 36(1) |
| ISSN: | 1472-0213 |
| Popis: | Clinical introductionA 56-year-old man without known medical history was brought to our ED after he was found next to his bed, agitated and with waxing and waning consciousness. He has been bedbound for 5 days after a long-standing period of malnutrition. Physical examination reveals Kussmaul breathing, heart rate of 62/min and blood pressure of 135/100 mm Hg, normal cardiac, abdominal and a non-focal neurological examination other than confusion and altered level of consciousness. An EKG was performed (figure 1).Figure 1EKG at presentation in our ED.QuestionWhat abnormalities are the clues to the severity of his condition? How would you confirm your suspicion?The minimally prolonged QTc time.The subtle horizontal ST segment elevation in V2 and V3.The subtle positive deflection at the J point.Nothing, this EKG is not interpretable because of the movement of baseline. |
| Databáze: | OpenAIRE |
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