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54-year-old female with a syncopal episode

from Clinical Practice and Cases in Emergency Medicine

A 54-year-old woman presented to the emergency department with a complaint of syncope. The patient was unable to offer any history, so all information was obtained from her friend, paramedics and past records. Her friend, who accompanied the patient to the ED, reported that the patient had been "feeling unwell," vomited twice and then went to bed earlier that day. A few hours later, the friend heard a loud thud and subsequently found the patient unresponsive on the floor. When paramedics arrived at the scene, the patient was unresponsive. They gave her 50 gm of dextrose intravenously because her capillary blood glucose was 17 mg/dL. She regained consciousness, but continued to be altered during her transport to the ED. more

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