A Viral Spiral

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A Viral Spiral - Page #3

Lab Studies: CBC, CMP, TSH were within normal limits. Other Studies: CT and MRI brain: unremarkable. Echo: unremarkable. Holter: High PVC burden; otherwise, unremarkable. ECG: NSR, left atrial enlargement. ST elevation (early repolarization) Tilt table test: exaggerated HR response with upright position, sinus tachycardia. Provocative tilt table test with stable BP, HR, and no induced vasovagal syncope. Negative carotid massage. Stable BP/HR with Valsalva maneuver, deep breathing, and cold pressor testing. Normal postganglionic sympathetic sudomotor axon function. Consultations: Infectious disease ruled out Guillain-Barre syndrome. Neurology agreed with the leading diagnosis made by primary care sports physician. Cardiology was consulted for medication assistance. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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