Physical Examination - Science topic

A 27-year-old woman presents to her primary care provider for a routine physical examination. She denies any heart disease and has never had any cardiac symptoms. However, on physical examination, the clinician detects an irregular heart rhythm, and a 12-lead ECG is obtained.

What does her ECG reveal?

1-Atrial flutter.

2-Atrial fibrillation.

3-Normal sinus rhythm with premature ventricular complexes.

4-Normal sinus rhythm with aberrantly conducted premature atrial complexes (PACs).

5-Normal sinus rhythm with PACs and Wolff-Parkinson-White (WPW).

Chen Huabin is the deputy chief physician of Taizhou Hospital. He graduated from Zhejiang Medical University, Hangzhou Branch (now Hangzhou Normal University Clinical School) in 1991. He was named the deputy chief physician in December 2006. He has many years of clinical experience in orthopedics, brain surgery, and emergency trauma surgery.  He is now the chief surgical examiner of the Hospital Health Management Center.

I met him during a physical examination 3 years ago. At that time, he was a surgical medical examiner and a human skeleton model was placed on the table. When he checked my spine, he said something to the effect that an important reason for the common occurrence of spondylosis in Chinese people is the bad habits and wrong postures in life and work. People of our age who are frequently sitting mainly have some problems with the lumbar spine, but the old farmers who work hard in the countryside rarely have this problem.

I collected data for independent different physical examination skills (Blood pressure measurement, Auscultation of heart sounds , Auscultation of lung sounds, heart rhythm assessment, and palpation of arterial pules).

the data collected to see how relevant was the simulation experience with mannequins for those physical examinations.

Dear All,

1. Is it similar to somatoform disorder?

2. If not, what is the next test(s) to address the recurrent syncope?

Thanks and best regards

Mariam Ahmad