Son Brings Elderly Mom to ER for Heart Palpitations, Shortness of Breath – Let’s Diagnose

An 83-year-old woman with kidney disease was brought to the ED for heart palpitations and shortness of breath by her son. He reported that for the last day, she had not eaten much due to nausea and had been noticeably fatigued, complaining of muscle weakness. She was feeling so ill that she missed her dialysis appointment late yesterday. Her ECG showed ST elevations and a widening QRS complex.

Is it hyperkalemiaMyocardial infarctionMetabolic acidosis? A pulmonary embolism?

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