Our latest case report from Brady Pregerson, MD, features an elderly male with a past medical history of diabetes and stage 5 CKD presenting with 2 days of nausea, vomiting, and generalized weakness. Check out the EKG and determine the correct diagnosis!
An elderly male with a past medical history of diabetes and stage 5 chronic kidney disease is brought to the hospital by medics with 2 days of nausea, vomiting and generalized weakness. He denies any chest pain, difficulty breathing, fever, chills, abdominal pain, diarrhea, melena, or other complaints. He has a dialysis fistula but has not yet started dialysis. His home medications include losartan, amlodipine, Lasix, sitagliptin, and Plavix.
He is normotensive however heart rate is in the 20–30s range. His extremities are warm and well perfused with a palpable thrill in the left arm. He is not confused. He has faint crackles in the bases bilaterally with trace lower extremity edema.
What is the rhythm?