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Had this one on a transfer yesterday. 69 yof presented to the ED with abdominal pain x several weeks. Being transferred for GI specialty and a cholecystectomy, but also needed ERCP, which she cannot get at origin facility (very, very rural hospital).
Hx of alcoholism, DM, HTN, and the usual for her age group, and multiple episodes of acute pancreatitis (hence the ERCP). ECG shows peaked T-waves (taller than the Rs, which was super intriguing to me), but blood work shows Hyponatremia, but NOT hyperkalemia.
Anybody seen this and have any ideas?
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