Abstract
The presence of symmetric T-wave inversions in the anterior precordial leads may point to life-threatening cardiovascular and neurologic emergencies—or they can signal a variety of relatively benign processes with excellent prognoses. Several possibilities had to be weighed when a 65-year-old woman with a history of alcoholism presented to the emergency department with nausea, abdominal pain, and hematochezia. During her subsequent hospitalization, she developed acute alcohol withdrawal. Despite high doses of long-acting benzodiazepines, visual and tactile hallucinations ensued.
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