Vasovagal Syncope Study Guide | Nursing & Medical Student SOAP Note | Fainting Case PDF | Digital Download

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I HUMAN CASE STUDY FOR AN 18 YEARS OLD MALE —
REASON FOR ENCOUNTER: “PASSED OUT” (SYNCOPE) WEEK
#7 (2026) CLASS 6512 — LOCATION: OUTPATIENT CLINIC
(WITH LAB CAPABILITY) LATEST WITH A SOAP NOTE |
DISTINCTION

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1. General Case Information g; g;




Case title & summary
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18-year-old male with an episode of transient loss of consciousness
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g; while standing at school assembly. Focus: safe outpatient evaluation
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g; of syncope — distinguish benign neurally-mediated (vasovagal)
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g; syncope from cardiac, neurologic, metabolic, and toxic causes;
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g; decide which tests are required urgently and which can be
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g; outpatient; provide immediate management, counseling, and follow-
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up.

Reason for encounter g; g;




Evaluation after an episode of loss of consciousness (LOC) this
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morning; patient was brought to clinic by parent after ED observation
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g; and discharge.
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Patient demographics g;




• Age: 18 years g; g;




• Sex: Male g;




• Height: 180 cm (5′11″) g; g; g;




• Weight: 72 kg (159 lb) g; g; g; g;




• BMI: 22.2 g;




Case mode: Learning mode
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Case location: Outpatient primary care clinic with point-of-care
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testing, 12-lead ECG, and ability to refer for imaging / cardiology
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Attempts allowed: Unlimited (learning)
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2. Chief Complaint (CC) g; g;




“I passed out at school this morning.”
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• Witnessed LOC lasting ~30–45 seconds while standing;
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regained spontaneously, now back to baseline.
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3. History of Present Illness (HPI)
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An 18-year-old male was standing during a 45-minute school
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g; assembly when he felt lightheaded and nauseated, then lost
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g; consciousness for approximately 30–45 seconds. Classmates and
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g; staff reported pallor and brief limpness; there was no tonic-clonic
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g; activity reported, no tongue biting, and no urinary incontinence. He
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g; regained consciousness promptly but was initially confused for ~30–
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60 seconds then returned to baseline. He vomited once after
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g; regaining consciousness. He was transported to a nearby ED where
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g; vitals were stable, glucose was normal, ECG reported as normal
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sinus rhythm, and basic labs were within normal limits; he was
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g; observed for 4 hours and discharged. The patient and parent present
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g; today for outpatient follow-up and further evaluation.
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