ABSTRACT

You are reviewing patients in the medical admissions unit. Your next patient has been referred by her general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Miss Lisa Lowe

Age: 22 years

Your advice is very much appreciated for this lady who has collapsed with loss of consciousness on a number of occasions. Her ECG and clinical examination (including blood pressure which I am treating) were all normal today. However, I am still concerned that there may be a neurological or cardiological cause for her symptoms and hence would value your opinion.

Yours sincerely