Loran Hatch, DO

An Interesting Case of Ingestion by Dr. Loran Hatch

A 20 year-old female presents with an intentional overdose. Her mother reports that 30 tablets of Meloxicam 15mg missing. Patient alert and she complaints of generalized abdominal pain and nausea. Vitals are initially stable, but then she becomes hypotensive 50s/20s while she is alert. Her ECG is NSR and wide QRS (146ms) and prolong QTc (762ms). The patient eventually admits to also taking her mother’s Plaquenil.
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Back to Basics: Complete Heart Block

68yo Male, hx DM (+insulin pump), CHF (+lasix), HTN, presents to the ED c/o intermittent episodes of lightheadedness for the past year, becoming more frequent over the past month and had an episode today while getting out of bed. No syncope. At home noted HR 33, went to urgent care, HR 37. Patient was sent to the ED for further evaluation. What did the ECG show?

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