57yM with PMH of HL, DM2 c/o palpitations and SOB for the past

72 hours. Sent to the ED from PMD’s office for an abnormal EKG. HR: 146 BP: 101/78

RR: 18 O2 Sat: 98%

What is your interpretation of the EKG?

History/Clinical Picture

Rate

Rhythm

Axis

P Waves

Q/R/S Waves

T Waves

U Waves

PR Interval

QRS Width

ST Segment

QT Interval

What is your diagnosis?

How would you manage this patient in the ED?

What diagnostics would you order in the ED?

Foundations EKG I - Unit 5, Case 18

Triage EKG

Created by Duncan Wilson, MD Edited by Nick Hartman, MD & Kristen Grabow Moore, MD, MEd