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November 4, 2021

E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant

General Questions

Case Study

E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.

Subjective Data

Has been feeling weak for a few days

Became dizzy and fainted while awaiting his dinner

Takes one medication, a “water pill” for high blood pressure

Objective Data

Physical Examination

Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F

Alert and oriented

Lung sounds clear in all fields

Diagnostic Studies

ECG monitor shows atrial fibrillation

Questions

What is atrial fibrillation?

What additional history should you obtain from E.W.?

Describe the risks associated with atrial fibrillation.

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