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Clinical VignetteA clinical vignette is a concise presentation of an interesting or challenging patient encounter that stimulated an interesting learning issue.
Yup CSF, u r right--its a case of Hyperkalemia, obviously due to renal failure -as was mentioned in the question. But there are lots more than just 'hypekalemic T waves'. Peaked T is the earliest sign of hypekalemia but in this ECG the most imp findings consistent with severe hypekalemia are wide QRS, prolonged PR as well as flat P. In V1-3 there are peaked T waves. These findings suggest severe hyperkalemia. Serum K+ in this pt was 7.6 mEq/L.
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