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Search and discover over 2,500 ECG reports written by cardiologist and intensivist Dr George Nikolić OAM.
P-on-U Phenomenon in Hypokalæmia
Report: Sinus rhythm Non-specific ST/T changes Prominent U waves consistent with hypokalæmia Comment: The patient was in fact hypokalæmic at 2.9 mEq/L - a frequent finding in sick alcoholics, especially after prolonged vomiting with attendant alkalos
The P-on-U Effect
HypokalæmiaReport: Sinus tachycardia 135/min Non-specific ST/T changes Prominent U waves Consistent with hypokalæmia Comment: As stated earlier, the pun is Schamrothâs174. This second example is to reward the fast learners. The large U wave is su
Gitelmanâs Syndrome: Hypokalæmia
Report:Sinus rhythm 85/min Right axis deviation +140o Right bundle branch block Large TU waves c/w hypokalæmia Comment:This is, almost, a P-on-U phenomenon (no pun intended), as Schamroth put it11. The diagnosis can only be made, as reported, in a co