A 60-year-old female with a history of hypertension and diabetes presents to urgent care with fatigue and weakness for 1 day. Her son states she has not been able to get out of bed today because she’s “too tired to walk.” She denies any complaints of chest pain, nausea, vomiting, shortness of breath, or fever.

View the ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.(Case presented by Catherine Reynolds, MD, The University of Texas Health Science Center at Houston McGovern Medical School.)

A 60-Year-Old Woman with Hypertension, Diabetes, and Sudden Fatigue and Weakness
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