Syncope in an Adolescent

Abstract

Syncope is a common chief complaint in the emergency department (ED); however, the workup of syncope is quite extensive. Likewise, community-acquired pneumonia (CAP) can also be difficult to diagnose due to the wide range of signs and symptoms, and even a larger list of etiologies. Syncope as a presenting symptom of CAP has demonstrated to be a challenging clinical association to make. We present a case of a previously healthy 14-year-old female who presented to the ED for having an episode of syncope at softball practice. Notable aspects of the case-age of the patient and the obscure presentation, as well as laboratory and imaging resultsmade this case challenging. Thus, obtaining a thorough history from the patient and family and performing a detailed physical examination can really help a clinician lead to an accurate diagnosis.

Neumonía adquirida en la comunidad con patrón atípico y síncopes recurrentes: Un reporte de caso

“…En la bibliografía se han descrito casos en los que el síncope es el síntoma principal de diversas afecciones, como la embolia pulmonar, la neumonía grave o incluso el síncope por tos en pacientes con infecciones respiratorias graves. Por ejemplo, un estudio publicado en Cureus (Part of Springer Group) describe el caso de una paciente con síncope como presentación inicial de una neumonía adquirida en comunidad 24 .…”

The Characteristics of Syncope-Related Emergency Department Visits: Resource Utilization and Admission Rate Patterns in Emergency Departments

“…Syncope represents a common presentation to emergency departments (EDs) and is estimated to account for 0.6-1.7% of the total ED visits and hospital admission rates of 12-85% [1]. The 30-day mortality rate among syncope patients is about 0.8% [1][2][3][4][5][6].…”

“…Although advanced imaging like CT can be useful to detect trauma, bleeding, or stroke in syncope patients, it is not advised to order these diagnostic tests on a routine basis. On the contrary, diagnostic tests for syncope should be guided by clinical information such as patient symptoms and signs, patient history, and physical examination [2,[6][7][8].…”