WEEKLY CASE #2

By -

 A 52-year-old man presents to the emergency department with recurrent episodes of dizziness and near syncope for the past 2 months. These episodes are often triggered while turning his head to the right. He also reports a dull, intermittent pain in the right side of his neck which goes to his ear, and worsens if his partner touches it.

On examination:

  • Pulse: 48/min (regular)
  • BP: 110/70 mmHg
  • Mild tenderness over the right tonsillar fossa

An ECG shows:

  • Sinus bradycardia
  • Occasional second-degree AV block (Mobitz type I)

Cardiac enzymes are normal. Echocardiography is unremarkable.

A carotid sinus massage reproduces his symptoms along with further slowing of heart rate.


❓ What INVESTIGATION would you do for the symptoms involved? What explains the symptoms?

Thanks for reading! I regularly update my Anki decks and share interesting med trivia on my Telegram channel. Join and follow for more such content.

Click the icon below to join the channel 👇

Join Telegram

Comments

Post a Comment

If you have any doubts or any of the links on my blog are not working please let me know.

Have a look at my other posts!

Project Lazarus: UPDATED Anki Deck: Microbiology By Dr. Preeti Sharma Rapid Revision with Images (Cloze + Image occlusion)

By -
Image
This deck has now been incorporated into the Lazarus Systems deck. Click  here  to get redirected to the updated version of this deck .   UPDATED Microbiology Anki Deck – Based on Preeti Sharma’s Rapid Revision Notes ## The Ultimate High-Yield Resource for Final Year MBBS and NEET PG Prep Hello everyone, I’m thrilled to share a project that I’ve been building with great care and dedication — a fully comprehensive Anki deck for Microbiology, based on the Rapid Revision Notes by Preeti Sharma. This isn’t just another flashcard deck floating around the internet — it’s a meticulously created, exam-oriented tool, designed for serious medicos who want to make the most out of their revision time.Whether you're preparing for your final MBBS exams, NEET PG, or INI-CET, this deck is intended to streamline your learning, optimize your recall, and ensure conceptual clarity. ## What Makes This Deck Special? This isn’t a half-hearted copy-paste job. This deck is the result of a line-by...
Read more

Master Post for Anki Decks of all 19 subjects: For INICET, NEET PG and Professional Exams with Download Link

By -
Image
Hi, Everyone, in this post I will be sharing subjectwise AnkiDecks which are currently available, created by various people, all at one place. These are my suggestions based on my understanding and solving of decks. I havent solved each and every deck hence its not possible for me to review everything. I recommend the following for each of the subjects: ( each of the below subject line is a hyperlink, if its not visible just click on the line, it shall redirect you to the download page) All the NEET PG Decks: Anatomy Deck: currently finalizing one will upload soon Biochemistry Deck: Project Lazarus Marrow RR 8.0 deck(2.6k cards) Physiology Deck: Panacea Deck (3k cards)(will upload this soon)     I prefer to do the 2nd year subjects from the main notes so: Pathology deck: Project Lazarus’ Hematopathology(~500 cards) + systemic pathology deck(2.1k cards) Pharmacology deck: Project Lazarus’s GRG Tau deck(4.3kcards) Microbiology deck: Project Lazarus’s Preeti Sharma Micro RR deck ...
Read more

All the PYQ decks:Reviews and Download link

By -
Image
  1) Novel Pea PYQ deck Gold standard deck for PYQS Covers from 2018-2023 both inicets and NEET . 2021-2023 are subjectwise, rest might be year. Some are mixed. Recommendation: Complete the entire deck. In your revision phase, solve the pyqs, add the extra pyqs(which will be less) IN THIS DECK(have a look at the image below first before downloading): I_anki subdeck includes pyqs from the i_anki deck that is years prolly from 2016-2020 the subdecks like “anat,optha, micro” and so on includes the years from 2021-2023. rest all the subdecks are clear i hope. Download link: https://drive.google.com/file/d/1kEMCwo62C7hf4WqfZ5wHiReugppIv3ty/view?usp=drivesdk 2) Recently uploaded master PYQ deck by the reddit user Pranavm3112 PROS :covers all the years from 2017-2024,covers both ini and neet, includes the respective question all its four options and the explanation behind it, tagged yearwise and subjectwise CONS : cards aren’t in cloze format, too much information on back for an anki card...
Read more