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I-HUMAN CASE STUDY – WEEK 7
**18-YEAR-OLD MALE WITH SYNCOPE**
*COMPLETE CLINICAL DOCUMENTATION |
2026/2027 EDITION*
# Part 1: Case Presentation
## Patient Demographics
| Attribute | Detail |
|-----------|--------|
| **Name** | Tyler J
| **Age** | 18 years |
| **Gender** | Male |
| **Chief Complaint** | *"I passed out at soccer practice. My coach
made me come here."* |
| **Setting** | Emergency Department (brought by parent) |
---
## History of Present Illness (HPI)
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**Onset & Duration:**
Approximately **2 hours ago** during soccer practice. Patient was
running sprints (~80°F, humid day) when he felt **dizzy, lightheaded,
and nauseous**. He then lost consciousness for **30–45 seconds**
according to his coach. No head injury sustained. He woke up confused
briefly but now feels back to baseline except for mild fatigue.
**Event Details:**
- **Position at time of syncope:** Standing, actively running
- **Prodromal symptoms (before fainting):**
- Dizziness (described as "room spinning")
- Lightheadedness
- Nausea
- Warm feeling
- Tunnel vision (patient recalls "everything went dark before I hit the
ground")
- **During syncope:** No witnessed tonic-clonic movements, no
urinary or bowel incontinence, no tongue biting
- **Post-ictal (after waking):**
- Confused for <1 minute
- No prolonged disorientation
- No headache or focal weakness
- Able to walk to sideline
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**Modifying Factors:**
- **Relieving:** Lying down (feels better now)
- **Provoking:** Strenuous exercise, heat, dehydration
**Severity:** Single episode; no prior syncope
**Associated Symptoms (denies):**
- Chest pain, palpitations, shortness of breath
- Headache, vision changes
- Seizure-like activity
- Trauma (no fall-related injury)
---
## Past Medical History (PMH)
- **No chronic medical conditions** (healthy adolescent)
- **No known heart disease**
- **No history of seizures or epilepsy**
- **No prior syncope or presyncope**
- **No psychiatric history**
I-HUMAN CASE STUDY – WEEK 7
**18-YEAR-OLD MALE WITH SYNCOPE**
*COMPLETE CLINICAL DOCUMENTATION |
2026/2027 EDITION*
# Part 1: Case Presentation
## Patient Demographics
| Attribute | Detail |
|-----------|--------|
| **Name** | Tyler J
| **Age** | 18 years |
| **Gender** | Male |
| **Chief Complaint** | *"I passed out at soccer practice. My coach
made me come here."* |
| **Setting** | Emergency Department (brought by parent) |
---
## History of Present Illness (HPI)
,2|Page
**Onset & Duration:**
Approximately **2 hours ago** during soccer practice. Patient was
running sprints (~80°F, humid day) when he felt **dizzy, lightheaded,
and nauseous**. He then lost consciousness for **30–45 seconds**
according to his coach. No head injury sustained. He woke up confused
briefly but now feels back to baseline except for mild fatigue.
**Event Details:**
- **Position at time of syncope:** Standing, actively running
- **Prodromal symptoms (before fainting):**
- Dizziness (described as "room spinning")
- Lightheadedness
- Nausea
- Warm feeling
- Tunnel vision (patient recalls "everything went dark before I hit the
ground")
- **During syncope:** No witnessed tonic-clonic movements, no
urinary or bowel incontinence, no tongue biting
- **Post-ictal (after waking):**
- Confused for <1 minute
- No prolonged disorientation
- No headache or focal weakness
- Able to walk to sideline
, 3|Page
**Modifying Factors:**
- **Relieving:** Lying down (feels better now)
- **Provoking:** Strenuous exercise, heat, dehydration
**Severity:** Single episode; no prior syncope
**Associated Symptoms (denies):**
- Chest pain, palpitations, shortness of breath
- Headache, vision changes
- Seizure-like activity
- Trauma (no fall-related injury)
---
## Past Medical History (PMH)
- **No chronic medical conditions** (healthy adolescent)
- **No known heart disease**
- **No history of seizures or epilepsy**
- **No prior syncope or presyncope**
- **No psychiatric history**
