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A 53-year-old female with no significant past medical history presents to the urgent care with progressive fatigue for several weeks. An ECG is obtained.

View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Myxedema coma
Figure 1: Initial ECG
Case presented by Catherine Reynolds, MD, McGovern Medical School at UTHealth Houston.
53-Year-Old Female With Fatigue
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