Image IQ: Syncope, Seizure and Hypokalemia ...Can You Diagnose This Patient?

May 5, 2020

A 17-year-old teen went to the ED after suffering his second syncopal episode in the last 6 months. He had shrugged off the first episode as not eating enough before a jog, but this time he hadn’t been doing anything active and his parents witnessed the syncope and what appeared to be a seizure. He reported that he had been feeling heart palpitations prior to the event. Further blood tests showed hypokalemia.

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A 17-year-old teen went to the ED after suffering his second syncopal episode in the last 6 months. He had shrugged off the first episode as not eating enough before a jog, but this time he hadn’t been doing anything active and his parents witnessed the syncope and what appeared to be a seizure. He reported that he had been feeling heart palpitations prior to the event. Further blood tests showed hypokalemia.  Can you diagnose this patient?  If you need help, use the Differential Builder in VisualDx to help you.

A. Seizure
B. Prolonged QT interval
C. Hypoglycemia
D. Wolff-Parkinson-White pattern

Learn more about this diagnosis on the VisualDx site