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]]
[[File:DRJ_case_2_2.jpg|thumb|Right coronary artery]]
[[File:DRJ_case_2_3.jpg|thumb|Left coronary artery]]
[[File:DRJ_case_2_4.png|thumb|Follow-up ECG]]


*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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His admission ECG is shown on the right.
His admission ECG is shown on the right.


==Questions==
The patient was referred for immediate coronary angiography.
# What is
 
[[Answers DRJ Case 2|Answers]]

Revision as of 02:55, 16 April 2010

This case was kindly provided by Martijn Meuwissen, MD, PhD.

admission ECG
Right coronary artery
Left coronary artery
Follow-up ECG


  • 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.