A 60 year old man with hypertension, arthritis, and multiple myeloma presents with constipation, anorexia, weakness, and nausea. As per usual ER protocol, he gets a CT abdomen which shows kidney stones as well as the multiple myeloma. He also gets an EKG, shown above.
Challenge: What's going on?
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3 comments:
short QT interval
Short QT interval due to Short ST segment. Hypercalcemia.
Steve Smith, Dr. Smith's ECG Blog
yes! nicely identified
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Not a STEMI
QT shortening is seen with hypercalcemia, which fits the signs, symptoms, and medical history here.
Sources: UpToDate; ECG Wave Maven.
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