Q A 71-year-old man is brought in by his wife because she says he is not quite right. He has anorexia, nausea and vomiting and comments that objects appear more yellow than usual. An electrocardiogram (ECG) shows no P waves but there is T wave inversion in V5–V6 and ST depression, which looks like a reverse tick. Which of the following drug could be responsible for his signs and symptoms?
A. Amiodarone
B. Lithium
C. Digoxin
D. Ciclosporin
Explanation
Correct Answer: C. Digoxin
This man has digoxin toxicity. Digoxin can cause a varied clinical presentation when levels are too high. Visual disturbance and ECG changes may both be features.
A. Amiodarone B. Lithium C. Digoxin D. Ciclosporin Explanation
Correct Answer: C. Digoxin
This man has digoxin toxicity. Digoxin can cause a varied clinical presentation when levels are too high. Visual disturbance and ECG changes may both be features.