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Wash my hand
Hello I am doctor henery, I am one of the treating doctor in this clinic. May I confirm your name and age
please ? ok susan what have brought you here today. So you mean you have this problem?
Could you please tell me a little bit more about this problems?
Did you have any warning sings like lightheadness /nausea / vomiting ( warning sign)
Do you any funny racing of your heart /SOB or chest pain (heart)
Did you hurt yourself or did you have any accident by any chance ( accident)
While you lost your conscious did your or other noticed you have any jerky movement/ did you soil
yourself or pass urine/did you bite your tongue (fit)
I like to ask a few question about yourself. The discussion between you and me will not goes out unless
it will harm you and other ok
Meansural history
Social history
Medical history
Marina I have examined you and the mostly likely casue is vaso vagal syncope
Have you ever heard about it , ok I will explained it to you . it’s a condition due to a few trigger a nerve in
your body called vagal nerve overreactive lead to loss of consciousness for a short period of time and
then you recover quickly
The cause usually do to prolong standing or if you are in distress
There could be other causes also such as hypoglycemia,arrthmia, stroke , fit but these are unlikely due
to your examination and investigation