Post by pbruss on Jan 24, 2015 11:52:14 GMT -5
20 yo man brought to the er by his mom for a "second opinion". the day before he passed out and hit his head. went to another ER, they scanned his head and neck and sent him home. on history he passes out frequently for the past year. prodrom of dizzy, sob, heart palpitations then syncope. no post ictal state. has not seen a doctor for it. when he was younger he had bad sob while playing sports, passed out once durring sports and was diagnosed with sports induced asthma. he is reliable, takes no drugs, etoh, cigs. he is in nursing school.
exam- has an abrasion on left forehead but everything else (heart, lungs, abd, neuro, ect) is all normal.
his mom, who is not pushy or anoying, says that the patients dad dropped dead all the sudden in his late 30's. after i asked her to call her husbands side of the family, it turns out out of the fathers brothers and uncles, only one lived past 45. all the others "dropped dead" but no one ever knew why.
attached is his EKG.
what is your interp and plan for management?
exam- has an abrasion on left forehead but everything else (heart, lungs, abd, neuro, ect) is all normal.
his mom, who is not pushy or anoying, says that the patients dad dropped dead all the sudden in his late 30's. after i asked her to call her husbands side of the family, it turns out out of the fathers brothers and uncles, only one lived past 45. all the others "dropped dead" but no one ever knew why.
attached is his EKG.
what is your interp and plan for management?
Attachments:
