I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, August 22, 2013
Tonic Water
Challenge: What antiarrhythmic causes this arrhythmia? Side effects include nausea, diarrhea, abdominal pain, tinnitus, hearing loss, confusion, delirium, vision changes, and psychosis.
not the greatest EKG. lido is a good guess, but i was going for quinidine - Tonic Water
This is quinidine effect; the ECG shows sinus rhythm with an intraventricular conduction delay (QRS 0.12 seconds) and a mildly prolonged QT-(U) interval.
is the EKG showing mobitz type II abnormality? is it lidocaine then?
ReplyDeletenot the greatest EKG. lido is a good guess, but i was going for quinidine
ReplyDelete-
Tonic Water
This is quinidine effect; the ECG shows sinus rhythm with an intraventricular conduction delay (QRS 0.12 seconds) and a mildly prolonged QT-(U) interval.
Sources: ECG Wave Maven; UpToDate.