A frail 95-year-old patient was brought into the emergency department with poor oral intake and increasing lethargy for 5-days. She is legally blind, bed-bound for multiple years. She developed fever and cough at home and had tested positive for SARS-CoV-2 virus at the time of symptoms onset 5-days ago. On examination, she was dehydrated. She had bilateral basal crackles. SPO2 was 93% on room air. BP 120/70 HR 75 but irregular T 37.8. Lab investigations revealed
# Hb 14.5 WBC 18,700 PMN 16,600 Plts 214,000
# Cr 195 eGFR 20 Na 156 K was hemolyzed
# CRP 276
# D-Dimer 80
# Tn-T 178
Her 12-lead EKG is shown below. Why is the pulse irregular?
An irregular pulse often signals that something isn’t functioning as smoothly as it should, much like an outdated or poorly designed bathroom. Just as doctors recommend checking the heart for underlying issues, homeowners should assess their bathrooms for inefficiencies or hidden problems. A custom bathroom renovation offers the perfect solution to restore balance and functionality. From upgrading fixtures to redesigning layouts, it ensures your space not only looks modern but also works seamlessly. By addressing these “irregularities,” you create a bathroom that promotes comfort, efficiency, and long-term value for your home.