#FRIDAYIMAGECHALLENGE (with answer)

Case: 55yo homeless man presents to the hospital altered and febrile to 39, seen two weeks ago at OSH for cough where EKG was documented as “normal sinus rhythm”

This EKG was obtained in the ED

(click image to enlarge)

What is the EKG finding and what underlying diagnosis should be at the top of your differential?

Continue reading #FRIDAYIMAGECHALLENGE (with answer)