DRJ Case 2: Difference between revisions
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'''This case was kindly provided by Martijn Meuwissen, MD, PhD.''' | '''This case was kindly provided by Martijn Meuwissen, MD, PhD.''' | ||
[[File:DRJ_case_2_1.png|thumb|admission ECG]] | [[File:DRJ_case_2_1.png|thumb|admission ECG|400px]] | ||
*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. | *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. | ||
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[[File:DRJ_case_2_2.jpg|thumb|Right coronary artery|left]] | [[File:DRJ_case_2_2.jpg|thumb|Right coronary artery|left]] | ||
[[File:DRJ_case_2_3.jpg|thumb|Left coronary artery|none]] | [[File:DRJ_case_2_3.jpg|thumb|Left coronary artery|none]] | ||
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No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below. | No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below. | ||
[[File:DRJ_case_2_4.png|thumb|Follow-up ECG]] | [[File:DRJ_case_2_4.png|thumb|Follow-up ECG|400px]] | ||
Latest revision as of 03:45, 16 April 2010
This case was kindly provided by Martijn Meuwissen, MD, PhD.
- 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 mmmol/L, glucose 45 mmol/L
His admission ECG is shown on the right.
The patient was referred for immediate coronary angiography.
No coronary lesions were present. Subsequent ECG after correction of electrolytes is shown below.
