Session 1 Short Case Home Work

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Author:
suzyasikhia
ID:
270669
Filename:
Session 1 Short Case Home Work
Updated:
2014-04-15 16:25:18
Tags:
Clinical Skills
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CS
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  1. 26 yo M presents after falling and losing
    consciousness at work. He had rhythmic
    movements of the limbs, bit his tongue,
    and lost control of his bladder. He was
    subsequently confused (as witnessed by
    his colleagues).
    • DD
    • Seizure, grand mal (now called
    • complex tonic-clonic seizure), Convulsive syncope, Substance abuse/overdose, Malingering, Hypoglycemia
    • Work-up
    • CBC, electrolytes, glucose, Urine toxicology, EEG, MRI—brain, CT—head, LP—CSF analysis
    • ECG
  2. 55 yo M c/o falling after feeling dizzy
    and unsteady. He experienced transient
    LOC. He has hypertension and is on
    numerous antihypertensive drugs
    • DD
    • Drug-induced orthostatic
    • hypotension (causing
    • syncope), Cardiac arrhythmia
    • Syncope (vasovagal, other
    • causes), Stroke, MI, Pulmonary embolism
    • Work-up
    • Orthostatic vital signs, CBC, Electrolytes, CT—head, ECG, V/Q scan,CT—chest with IV contrast
  3. 65 yo M presents after falling and losing
    consciousness for a few seconds. He
    had no warning prior to passing out but
    recently had palpitations. His past history
    includes coronary artery bypass grafting
    (CABG).
    • DD
    • Cardiac arrhythmia (causing
    • syncope), Severe aortic stenosis
    • Syncope (other causes), Seizure, Pulmonary embolism
    • Work-Up
    • ECG, Holter monitoring, CBC, electrolytes
    • Glucose, Echocardiography, CT—head

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