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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
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1. General Case Information
Case title & summary
18-year-old male with an episode of transient loss of consciousness while standing
at school assembly. Focus: safe outpatient evaluation of syncope — distinguish
benign neurally-mediated (vasovagal) syncope from cardiac, neurologic,
metabolic, and toxic causes; decide which tests are required urgently and which
can be outpatient; provide immediate management, counseling, and follow-up.
Reason for encounter
Evaluation after an episode of loss of consciousness (LOC) this morning; patient
was brought to clinic by parent after ED observation and discharge.
Patient demographics
• Age: 18 years
• Sex: Male
• Height: 180 cm (5′11″)
• Weight: 72 kg (159 lb)
• BMI: 22.2
Case mode: Learning mode
Case location: Outpatient primary care clinic with point-of-care testing, 12-lead
ECG, and ability to refer for imaging / cardiology
Attempts allowed: Unlimited (learning)
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2. Chief Complaint (CC)
“I passed out at school this morning.”
• Witnessed LOC lasting ~30–45 seconds while standing; regained
spontaneously, now back to baseline.
3. History of Present Illness (HPI)
An 18-year-old male was standing during a 45-minute school assembly when he
felt lightheaded and nauseated, then lost consciousness for approximately 30–45
seconds. Classmates and staff reported pallor and brief limpness; there was no
tonic-clonic activity reported, no tongue biting, and no urinary incontinence. He
regained consciousness promptly but was initially confused for ~30–60 seconds
then returned to baseline. He vomited once after regaining consciousness. He was
transported to a nearby ED where vitals were stable, glucose was normal, ECG
reported as normal sinus rhythm, and basic labs were within normal limits; he was
observed for 4 hours and discharged. The patient and parent present today for
outpatient follow-up and further evaluation.
Event context / triggers
• Prolonged standing in warm, crowded gym/auditorium (hot day)
• Had skipped breakfast and reports minimal fluid intake this morning
• Reports feeling “hot” and sweaty just before LOC
• No recent illness, no chest pain, palpitations, or dyspnea before event
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
,2|Page
1. General Case Information
Case title & summary
18-year-old male with an episode of transient loss of consciousness while standing
at school assembly. Focus: safe outpatient evaluation of syncope — distinguish
benign neurally-mediated (vasovagal) syncope from cardiac, neurologic,
metabolic, and toxic causes; decide which tests are required urgently and which
can be outpatient; provide immediate management, counseling, and follow-up.
Reason for encounter
Evaluation after an episode of loss of consciousness (LOC) this morning; patient
was brought to clinic by parent after ED observation and discharge.
Patient demographics
• Age: 18 years
• Sex: Male
• Height: 180 cm (5′11″)
• Weight: 72 kg (159 lb)
• BMI: 22.2
Case mode: Learning mode
Case location: Outpatient primary care clinic with point-of-care testing, 12-lead
ECG, and ability to refer for imaging / cardiology
Attempts allowed: Unlimited (learning)
, 3|Page
2. Chief Complaint (CC)
“I passed out at school this morning.”
• Witnessed LOC lasting ~30–45 seconds while standing; regained
spontaneously, now back to baseline.
3. History of Present Illness (HPI)
An 18-year-old male was standing during a 45-minute school assembly when he
felt lightheaded and nauseated, then lost consciousness for approximately 30–45
seconds. Classmates and staff reported pallor and brief limpness; there was no
tonic-clonic activity reported, no tongue biting, and no urinary incontinence. He
regained consciousness promptly but was initially confused for ~30–60 seconds
then returned to baseline. He vomited once after regaining consciousness. He was
transported to a nearby ED where vitals were stable, glucose was normal, ECG
reported as normal sinus rhythm, and basic labs were within normal limits; he was
observed for 4 hours and discharged. The patient and parent present today for
outpatient follow-up and further evaluation.
Event context / triggers
• Prolonged standing in warm, crowded gym/auditorium (hot day)
• Had skipped breakfast and reports minimal fluid intake this morning
• Reports feeling “hot” and sweaty just before LOC
• No recent illness, no chest pain, palpitations, or dyspnea before event
