Hello friends,
The Question:
A 60-year old male is brought to the ER after passing out at home. He was watching TV while seated in an armchair when he suddenly passed out without any warning signs. He was unconscious for several minutes and displayed several muscle jerks while unconscious. He had an MI 6 months ago. On exam, his blood pressure is 130/85, pulse is 80/min with frequent ectopic beats, and a 2/6 holosystolic murmur radiating to the axilla is heard. What is the most likely cause of this event?
A. Arrhythmia
D. Seizure
Answer to above + My question:
The answer is A. I don't understand why "muscle jerks while unconscious" automatically doesn't make it seizure. You don't get muscle jerks due to cardiogenic syncope.
Thank you!
The Question:
A 60-year old male is brought to the ER after passing out at home. He was watching TV while seated in an armchair when he suddenly passed out without any warning signs. He was unconscious for several minutes and displayed several muscle jerks while unconscious. He had an MI 6 months ago. On exam, his blood pressure is 130/85, pulse is 80/min with frequent ectopic beats, and a 2/6 holosystolic murmur radiating to the axilla is heard. What is the most likely cause of this event?
A. Arrhythmia
D. Seizure
Answer to above + My question:
The answer is A. I don't understand why "muscle jerks while unconscious" automatically doesn't make it seizure. You don't get muscle jerks due to cardiogenic syncope.
Thank you!