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A 60-year-old African American female without a past medical history presented to the emergency department with a complaint of a “hard, yellowish brown, growth” on her right upper abdomen. The patient reported that it had been present and slowly enlarging over a two-year period and was now causing pain when it “snags on clothing” Additional Images Physical Exam Skin : 9.5 cm, firm, curved, exophytic, keratotic, tumor protruding from the right upper abdominal wall.
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Written by Magnus Nossen The ECG below was obtained from 50-something male with a history of hypertension and tobacco use. The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. The ECG below ECG was recorded on the scene. What is the cause of the ECG changes here? How will you manage this patient?
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