Interpret ECG!! Right Bundle Branch Block (RBBB) observed in 70+ year old female with RUQ/LUQ abdominal pain. C/C: Abdominal Pain approximately 2 hours ago while at rest, after returning home from eating dinner at local restaurant. Meal consisted of 1/2 chicken breast and salad. Pt localizes pain to RUQ and LUQ, qualifies pain as "pressure", states pain is provoked by movement and deep inspiration of breath, denies radiation of pain and quantifies severity as 8/10. Pt also complaining of ongoing nausea, and states she has had two episodes of vomiting since pain onset. Emesis described as thick and without blood, with partially digested food particles discernable. Pt states she has not taken any medication for pain. Pt denies CP, SOB, diarrhea, food allergies, alcohol/drug use, recent trauma, or recent illness. PMHx (Pertinent Medical History): Anemia, Hypertension, Diabetes Type I. Appendectomy and Cholecystectomy performed several years apart 30+ years ago.

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RBBB low voltage

12lead show LAD LAHB RBBB Hyperacute T wave in v4 to v6 Need history and clinical correlation

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