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Teachable Moment
July 2016

Avoidance of Carotid Ultrasound in Syncope—Keeping It SimpleA Teachable Moment

Author Affiliations
  • 1Department of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque
  • 2School of Medicine, University of New Mexico, Albuquerque
  • 3Division of Hospital Medicine, Department of Internal Medicine, University of New Mexico, Albuquerque
JAMA Intern Med. 2016;176(7):892-893. doi:10.1001/jamainternmed.2016.2531

A man in his 70s with chronic obstructive pulmonary disease, hypertension, coronary artery disease, ischemic cardiomyopathy, and sick sinus syndrome with permanent pacemaker became lightheaded after quickly standing from bed, fell, and twisted his right ankle. He denied loss of consciousness, weakness before or after the fall, chest pain, palpitations, or new or worsening symptoms of heart failure. Neurological examination findings were normal. X-ray examination of the right ankle revealed a fracture.

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