abayomi.mcewen wrote:
> Hi you diagnostic wizards!
>
> I saw today Female Asian patient. Aged late twenties 10 yr history of
> fainting if she knocks her knees or elbows hard-ish. no fit like
> activity observed. now has small children and worried may happen when
> she's out with them. About 3 occurrenced a year. XM no help
> Any ideas?
There is only one possible _logical_ and organic diagnoses here......
She has ectopic vagal nerve fibres connected to soft tissue pads in her
knees and in her elbows . When stimulated , as in knocking , it generates
a vaso-vagal syncopal attack.
I would recommend that she wear that protection gear that delinquent
roller-blade teenagers and Ahmad use.
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