Point-of-Care Ultrasound to Evaluate a Teenager with Presyncope
A 16-year-old male presented with three months of palpitations at rest, fatigue, and episodic pre-syncope; his paternal grandfather died following presumed premature myocardial infarction at age 30. He was seen and discharged one week previously at an outside emergency department (ED). He follo...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2016-03-01
|
| Series: | Western Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://escholarship.org/uc/item/43w9v2gh |
| Summary: | A 16-year-old male presented with three months of
palpitations at rest, fatigue, and episodic pre-syncope; his
paternal grandfather died following presumed premature
myocardial infarction at age 30. He was seen and discharged
one week previously at an outside emergency department
(ED). He followed up with his pediatrician and was promptly
referred to our pediatric ED for evaluation given his risk factors.
Pertinent vitals on arrival were pulse 110, blood pressure
129/66, and oxygen saturation 97% on room air. His exam
was remarkable for a left upper sternal border 2/6 holosystolic
murmur with radiation to apex. In addition, the patient had a
chest radiograph (Figure), a nonspecific but abnormal EKG, and
a point-of-care ultrasound (POCUS) of the heart performed. |
|---|---|
| ISSN: | 1936-900X 1936-9018 |