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Jason's Blog: ECG Challenge of the Week for June 17-24. What "highs" and "lows" is this tracing suggestive of?

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This week’s ECG is categorized under the heading:“Tracing suggestive of          This is a classical example of this pair of derangements.

Patient's clinical data:  46-year-old white man who presented to the emergency department.  Co-morbidities include a history of hypertension, CHF, CAD, Type II DM, and diabetic nephropathy in addition to one other major problem.

Questions:  What combination of effects are present and what chronic problem are they both typically associated with?  What clinical procedure has this patient been routinely undergoing and now needs to have STAT?

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