Authors: Ivana Lutchman/ Editor: Steve Corry-Bass / Reviewer: Haitham Hodhod / Codes: CC3, CP4, NeuC12, NeuP1, NeuP8, SLO1 / Published: 06/06/2022
A 69-year-old gentleman presented to the emergency department with odd periods of vacancy. His wife reported that on the previous day, he had 2 episodes in which he would become suddenly pale and confused for 20 to 30 seconds.
During the episodes there was abnormal lip smacking movements and on one occasion he developed left sided facial weakness. He has no recollection of any of these episodes.
His past medical history includes hypertension, osteoarthritis and a left hip replacement. His medications are Bendroflumethiazide and Losartan.
On examination there were no focal neurological deficits.
His observations were:
RR: 18
Oxygen Saturations: 94%
HR: 48
BP: 141/80
GCS 15
Module Content
Assessment of Dementia in the ED
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Transient Ischaemic Attacks
Transient Ischaemic Attacks
Bifascicular Block
This session looks at the aetiology, diagnosis and management of bifascicular block in the ED.
13 Comments
great case
Enjoyed this. Good learning points regarding tia mimics. Thank you
Very well put together
Nice case of trifascicular block and TIA
Good learning Trifascicular block
good teaching methodology
Excellent learning bite of trifascicular block and TIA, thank you.
Had a similar presentation in ED – Good refreshment
Remember, Complete trifascicular block = 3rd-degree heart block in the presence of bifascicular block” RBBB with alternating LAFB and LPFB”.
Incomplete trifascicular block = 1st or 2nd-degree heart block with bifascicular block “RBBB with alternating LAFB and LPFB”.
Great learning of trifascicular block
A very good refresher
good case
Excellent case , covers few things to take into account to make the right diagnosis. thank you