Author: Owen Hibberd / Editor: Yasmin Sultan / Codes: MHC3, MHP4, MHP5, SaC3, SLO5, SLO7Published: 13/02/2023

A 13-year-old female presents with an episode of collapse whilst running.

She has no past medical history or family history. She has no allergies. She uses over the counter laxatives for constipation and takes no other medications.

Vital signs are as follows:

  • Oxygen Sats 98% on air
  • Respiratory rate 18 breaths per minute
  • Heart rate 35bpm
  • Blood pressure 90/50 mmHg with a postural drop
  • Temperature 35.6oc

Her glucose is 3.5 mmol/L, and her ECG is shown below1:

Fig.1 via LITFL1