Subject Code : PTH220
Assignment Task:

Patient History
o An 18-year - old woman was admitted following a collapse in her bathroom. She had been feeling unwell and had not eaten for 2 days when she went to the bathroom to vomit. In the bathroom she looked pale and told her mother she was going to pass out. She was observed to slump to one side and lose consciousness. Her mother propped her upright and saw the patient go rigid and jerk all four limbs for around 20 seconds.

o She was incontinent of urine. She was briefly disorientated on coming round but was back to normal within 5 minutes. She had history of collapse but was not taking was not taking any regular medication. There was family history of collapses. On examination she was well. Examination of the cardiovascular and neurological systems were normal. Blood tests and a 12 -lead ECG were normal. A CT head performed in the Emergency Department was also normal.

(i) What is the most likely cause of her collapse?
(ii) What is the PATHOPHYSIOLOGY of your diagnosis in (i) above?
(iii) Explain the criteria for referral


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  • Posted on : June 24th, 2019

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