robin082006
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A 64-year-old white female who is known to have congestive heart failure presents for the evaluation of nausea, vomiting, vague abdominal pain, diarrhea, fatigue and blurred vision for the last one-day. She denies any worsening of her breathlessness, chest pain, fever, productive cough or urinary complaints. She had an anterior MI one year ago and later on developed congestive cardiac failure secondary to left ventricular systolic dysfunction. She is currently on aspirin, digoxin, furosemide, enalapril and metoprolol. On examination her vitals are B.P: 120/80 mm Hg, R.R: 15/min, PR: 66/min. Physical examination is unremarkable. Chest x-ray shows enlargement of cardiac silhouette and normal lung fields. She is suspected to have digitalis toxicity and her blood is sent for digoxin levels. EKG is ordered. Which of the following EKG finding is most specific for digitalis toxicity?
A. Atrial flutter
B. Atrial fibrillation
C. Mobitz type II AV block
D. ST segment depression
E. First degree AV block
F. Atrial tachycardia with AV block
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| Aashi
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Its F
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| mjl1717
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Nice epitaph Aashi.
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