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Old 06-06-2013
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Question What's your Differential Diagnosis?

This is case find in usmle.org practice PN sample. Before enter the room what's your DD:-

Jason Morris, a 21-year-old male, has come to the student health clinic because he recently passed out while playing basketball.


IT LOOKS LIKE HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY
ALSO OTHER DDX SEIZURE AND CARDIAC ARRHYTHMIA.
the hx and pe will be the same as any case of passing out.
Any other input?
thanks
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Old 06-06-2013
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dude the first diagnosis would be fatal, patient would be dead.
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Old 06-06-2013
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it's not necessary i know it's serious condition but the patient my just passed out.
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Old 06-06-2013
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the pt is no in ED??? so... maybe syncope due to hypoglycemia???
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Quote:
Originally Posted by shima View Post
dude the first diagnosis would be fatal, patient would be dead.
No, it's not always fatal and it is the correct first differential diagnosis in this case.
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Old 06-06-2013
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HOCM would be there along with Seizure. very doubtful about Hypoglycemia if the pt is talking to you and was not given any Sugar. will depend a lot on history and other findings during encounter
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