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 BOF 90

 

   

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BOF: 90

A 26 year old female presents with a history of repeated “blackouts” of 6 months duration.

She says she feels a strange sensation coming over her sometimes accompanied by a odd taste in her mouth. She then becomes unconscious and wakes up feeling drowsy. On one occasion she was unable to move her right arm for about half an hour after regaining consciousness.

Twice she has noticed that her tongue felt sore after the episode.

On clinical examination she was conscious and well oriented. The nervous system was normal on examination her pulse was 80 beats per minute regular BP120/70 heart sounds were normal there were no murmurs , lungs were clear and her abdomen was normal .

In this patient which one of the following investigations would you arrange?

a)      Echocardiogram

b)      Bubble echocardiogram

c)      24 hour ECG

d)     Non Invasive Vascular Assessment of her carotids

e)      EEG

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