Hello colleagues, I have a patient I can use your help to diagnosis. Please write me DDX and algorithm for its management. Here is the case. A 23 year old girl after an argument. it starts with tachypnea and then fainting. She presents with tachycardia HR100, BP 120/80 and midriatic pupils reactive to light. Not responsive to pain. Thanks for your attention.
She has history of fainting due to decrease of BP twice.
If cold sweating is accompanied by dizziness of the heart, dizziness, and weakness, there is a possibility of cardiac arrhythmias. In severe heart failure, cold sweating is associated with shortness of breath and fatigue. Cold sweating may be due to hypoglycemia in diabetic patients, which usually results in a decrease in consciousness and dizziness of symptoms.
Mild cardiac arrhythmias are usually the same as admitting cardiac laser abnormalities, heart palpitations, shortness of breath, best tremor in the chest, as well as alert management of warning signs.