The patient is a 20-year-old female who presents complaining of 1 day of generalized weakness and vomiting. She has a history of alcohol abuse and denies chest pain, shortness of breath, lower extremity swelling, fevers, chills, or any infectious symptoms.

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

Figure 1: Initial ECG.
(Case presented by Jonathan Giordano, DO, MS, MEd, Department of Emergency Medicine, McGovern Medical School at UTHealth Houston.)
A 20-Year-Old Female with Weakness, Vomiting, and a History of Alcohol Abuse
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