Handsome Rob
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"Hypothetical" here. Patient as follows:
25 y/o female of Jewish and African American descent (ethnic genetic causes possibly?), extremely fit, NKDA, no prior known health complications.
Sitting in the passenger seat of a "car", patient states "oh sh*t" and hunches over, eyes open, but non-responsive to verbal stimuli. Upon palpation, the patient has muscle "tone", rigidity to the upper extremities and gasping respirations at 12-14. The patient remains in this state for 2 minutes or less. Upon arrival to the ED, the patient is carried into the ER and placed in a wheelchair. Once settled in the chair, the patient regains conciousness and declares that it happened again after being momentarily confused as to her surroundings. The patient is A&Ox4 within a minute and refuses medical care based on a history of atypical vasovagal syncope. For the next few hours the patient experiences nausea and weakness, but continues to deny medical intervention or evaluation.
My question is this: based on the "oh sh*t" remark and the nausea that followed I would be thinking seizure, however I cannot align all of the symptoms. Where do I start looking? I have found minimal info on atypical syncope (some sytptoms align, other disqualify)
Kinda hits close to home and need some guidance here...
Unfortunately, this is all the info I can get right now (was not there, getting this from the person who was).
25 y/o female of Jewish and African American descent (ethnic genetic causes possibly?), extremely fit, NKDA, no prior known health complications.
Sitting in the passenger seat of a "car", patient states "oh sh*t" and hunches over, eyes open, but non-responsive to verbal stimuli. Upon palpation, the patient has muscle "tone", rigidity to the upper extremities and gasping respirations at 12-14. The patient remains in this state for 2 minutes or less. Upon arrival to the ED, the patient is carried into the ER and placed in a wheelchair. Once settled in the chair, the patient regains conciousness and declares that it happened again after being momentarily confused as to her surroundings. The patient is A&Ox4 within a minute and refuses medical care based on a history of atypical vasovagal syncope. For the next few hours the patient experiences nausea and weakness, but continues to deny medical intervention or evaluation.
My question is this: based on the "oh sh*t" remark and the nausea that followed I would be thinking seizure, however I cannot align all of the symptoms. Where do I start looking? I have found minimal info on atypical syncope (some sytptoms align, other disqualify)
Kinda hits close to home and need some guidance here...
Unfortunately, this is all the info I can get right now (was not there, getting this from the person who was).
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