Your
next patient is waiting in the ER. It is a 64 year old male with
Chief complaint of Shortness of Breath. He has past medical history
of Pulmonary Silicosis, DM and Diverticulosis. He has baseline dyspnea
on exertion but recently has become more short of breath. He admits
to fever, cough and sputum production for 3 days. On physical exam
he has diffuse dry crackles in all lung fields and and the PMI in
found at the Lower Left Sternal Border. The CXR shows a diffuse
interstitial pattern and a RML consolidation. The labs are significant
for an elevated WBC and no other significant findings. You start
antibiotics. To complete the History and Physical you get an EKG.
What is your interpretation of this EKG and how do you explain it?