<img src="https://encrypted-tbn0.gstatic.com/images?q=tbn%3AANd9GcQlSFm4xkE357Iv2VRv7EAIVTCWCz81PzmoilXXOavWoFUzpUVg&usqp=CAU">
Adam is a 26 year-old dispatch rider who is brought to the emergency department following a convulsive episode at work.
Let's get [[started|Scenario 1]]Unfortunately, Adam can't recall much of what happened at work today. He doesn't remember feeling unwell or having any sort of warning before the blackout. He cannot tell you the duration of the episode either.
He insists that this is the first time he has ever blacked out. He denies any history of seizures, heart conditions or alcohol abuse.
You have no idea what could be wrong with him and the patient cannot provide any helpful information either. What would you do next?
A. [[Admit him to the ward for observation]]
B. [[Get a witness account of the episode]]
C. [[Test his urine for drug metabolites]]
D. [[Obtain a CT scan of his head]]Since you can't really get a clear history from Adam, you think it would be best if he was admitted to the observation ward for at least 24 hours.
Unfortunately, beds are scarce right now and there are sicker patients that need to be admitted. Your Consultant isn't happy with your plan. You really should have made an effort to take collateral history from one of Adam's colleagues first.
Go back and try again.Luckily, his line manager, who accompanied him to hospital, was able to give you a witness account as follows:
Adam had suddenly collapsed onto the ground while talking on the phone. His limbs appeared to stiffen and shake. He was unresponsive even though his eyelids were open. After about 2 minutes, the movements stopped and he regained consciousness again. Double-click this passage to edit it.Double-click this passage to edit it.