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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
