MedBugs: SAQ #160

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Case: Syncope

A 49-year-old man presents with syncope. He collapsed without warning or prodrome and recovered within a few minutes. No injuries or headstrike. No past medical history and no regular medications.

1. List five high risk features on ECG in this context. 5 marks

2. List three features you would look to exclude on bedside echo. 3 marks

Unfortunately, atier a long wait in a busy department and with all investigations pending, he wants to leave against medical advice.

3. Outline four steps in how you would manage this scenario if the patient wants to leave against medical advice (with investigations pending). 4 marks

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Case: Syncope

1. List five high risk features on ECG in this context. 5 marks

2. List three features you would look to exclude on bedside echo. 3 marks

3. Outline four steps in how you would manage this scenario if the patient wants to leave against medical advice (with investigations pending). 4 marks

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