A 14-year-old boy is brought to the emergency department after he collapsed on the high school footb

Discussion in 'Plab 1 and 2 forum' started by samuel, Dec 24, 2013.

  1. samuel

    samuel New Member

    A 14-year-old boy is brought to the emergency department after he collapsed on the high school football field during a game. He is awake and alert but is unable to tell you exactly what happened. His teammate says that the patient was running down the field and was about to catch the ball, but he collapsed before he even made contact with the ball. The patient remembers becoming dizzy before he collapsed, but he did not experience any arrest of motion during this time. He has no medical conditions and does not take any medications. He is sexually active with 2 different girls and they "sometimes" use condoms for protection. His temperature is 36.7 C (98.0 F), blood pressure is 110/70 mm Hg, pulse is 100/min, and respirations are 14/min. Physical examination is normal. Blood is drawn and sent for evaluation of electrolytes, BUN, creatinine, magnesium, and calcium. The most appropriate next step is to

    A. admit him for cardiac monitoring
    B. order echocardiography
    C. order electrocardiography
    D. order electroencephalography
    E. request consultation with a neurologist
    F. schedule a tilt-table test

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