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A 24-year-old woman presents to the ED following a syncopal episode whilst dancing at a nightclub. She has a history of depression but is otherwise well.

Nightclub Syncope

1. State (4) causes of the concerning ECG abnormality in this patient. 4 marks

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2. Outline your immediate management. 4 marks

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Patient wants to discharge against medical advice.

3. Outline your approach to the situation. 4 marks

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