miscellaneous abnormalities presented by martin reagon debs farr 2011
TRANSCRIPT
Miscellaneous Miscellaneous abnormalitiesabnormalities
Presented by Martin ReagonPresented by Martin Reagon
Debs FarrDebs Farr
20112011
Electrolyte imbalancesElectrolyte imbalances
Hyperkalaemia Hyperkalaemia
HypokalaemiaHypokalaemia
HypocalcaemiaHypocalcaemia
HypercalcaemiaHypercalcaemia
HyperKalaemiaHyperKalaemia
Peaked T wave Peaked T wave ( empire state ( empire state building!)building!)
P wave flatteningP wave flattening Prolonged PRProlonged PR QRS widensQRS widens Increase in size of U Increase in size of U
wavewave
T wave flatteningT wave flattening ST depressionST depression Prolonged QT intervalProlonged QT interval U waveU wave
Nb – Hypomagnesia Nb – Hypomagnesia can be identical!can be identical!
Hypercalcemia Hypercalcemia
Malignant tumoursMalignant tumours Excessive vitamin dExcessive vitamin d May be life threatening!!!!!!May be life threatening!!!!!! ECG- Shortens QT intervalECG- Shortens QT interval
Digitalis EffectDigitalis Effect
Digitalis toxicityDigitalis toxicity
ST depressionST depression Characteristic sag Characteristic sag
HypothermiaHypothermia
Core body temperature of Core body temperature of < < 95 degrees95 degrees Prolongation of QRSProlongation of QRS BradycardiaBradycardia Development of J wave Development of J wave
• Distinctive narrow positive wave the Osborn Distinctive narrow positive wave the Osborn wave/J wave/J deflection/camel’s humpwave/J wave/J deflection/camel’s hump
• Occurs at the junction of the QRS complex and ST Occurs at the junction of the QRS complex and ST segmentsegment
Pulmonary Embolism
S1Q3T3 pattern
a prominent S wave in lead I a Q wave and inverted T wave in lead III
sinus tachycardia T wave inversion in leads V1 - V3 Right Bundle Branch Block low amplitude deflections
.
A 40 year old woman with pleuritic chest pain and breathlessness