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Reprint Address: Benjamin L. Cooper, Department of Emergency Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, JJL 260, Houston, TX 77030
Affiliations
Department of Emergency Medicine, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas
A 39-year-old woman without significant medical history presented to the emergency
department for generalized abdominal pain, nausea, and vomiting of several days’ duration.
On arrival, the patient's heart rate was 58 beats/min, temperature was 98.2°F, respiratory
rate was 20 breaths/min, O2 saturation was 100% on room air, and blood pressure was 130/69 mm Hg. The patient
was well-appearing, in no acute distress, and had moderate tenderness to the right
lower quadrant. A 12-lead electrocardiogram (ECG) was obtained (Figure 1).
Figure 1Electrocardiogram obtained on patient arrival.
