Solve This Case
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Solve This Case| hammodi |
Posted: August 22, 2007 12:36 am
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Auscultating...  Group: Graduated Doctors Posts: 894 Member No.: 9 Joined: August 13, 2005  |
hi guys
 since we have this new trend of posting medical stuff, i thought i'd share this case with u: a 60 year old man faints each time he shaves and sometimes when he's wearing a tie, he faints too, what is the diagnosis?  |
  
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| The Knight |
 Posted: August 22, 2007 01:05 am
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Auscultating... Group: Graduated Doctors Posts: 620 Member No.: 1119 Joined: July 13, 2007 |
Dear Dr.
As far as im oriented I think you are talking about a case of : Carotid Sinus Hypersensitivity. I hope I'm right. |
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| ali al-kafaji |
Posted: August 22, 2007 11:42 am
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Diagnosing... Group: Graduated Doctors Posts: 1576 Member No.: 22 Joined: August 14, 2005 |
exactly DR.THE KNIGHT,
carotid sinus massage cause this fainting. mo Dr. HAMOODI.? ALI |
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| Hour_Glass |
Posted: August 22, 2007 06:50 pm
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Auscultating... Group: Graduated Doctors Posts: 481 Member No.: 105 Joined: September 28, 2005 |
that is one wierd case and am not sure of what am saying i'll just guess
 Carotid body Hypersensitivity which leads to vegal stimulation  i feel that am embaressing myself   Farah Baha |
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| hammodi |
Posted: August 22, 2007 07:53 pm
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Auscultating... Group: Graduated Doctors Posts: 894 Member No.: 9 Joined: August 13, 2005 |
yeah guys u r right, it's carotid sinus hypersensitivity. to confirm we do carotid massage (but not in patients with carotid diease) while patient on ECG and we take blood pressure too. if the sinus pauses for 3 seconds and systolic blood pressure drops 50 mm Hg or more then carotid sinus hypersensitivity is confirmed. dual chambre pacing helps
lol farah take it easy, this is not the finals |
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