The patient is a 20-year-old female who presents to urgent care with 2 days of nausea, vomiting, crampy abdominal pain, and inability to tolerate anything PO. Her personal medical history is remarkable for type I diabetes mellitus.

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

A 20-Year-Old Female with an Array of Gastro Symptoms