An 80-year-old female presented with diffuse muscle pain in the back, buttocks and thigh on the right side. On examination, Patient is obtunded Responsive to simple commands Paralysis of left half of body On fuher probing, it was revealed that the lady stays alone in her house and she was found by the neighbors in her house after she didn't respond to multiple calls. CT brain was done. Lab findings revealed increased serum creatinine out of propoion to BUN. Which of the following ECG corresponds with most common electrolyte abnormality found in the above condition: -
High-Yield Explanation
This is a case of Rhabdomyolysis. CT scan reveals a stroke in the region of MCA. The history of stroke with prolonged period of inactivity along with diffuse muscle pain and increase in serum creatinine out of propoion to BUN corresponds to the diagnosis of Rhabdomyolysis. Most common electrolyte abnormality seen is hyperkalemia. ECG findings in Hyperkalemia: -