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Discussion
The resident admitting the patient to you is worried about a neurological process and orders an EEG and head CT. The attending physician is more worried about a cardiac cause and wants to obtain a cardiac echo, as well as ambulatory EKG monitoring for a possible arrhythmia.
A head CT and EEG are performed and are normal. A cardiac echo reveals normal ventricular function, normal chamber sizes and no vavular abnormalities. The patient's brother is a cardiologist and wants the patient to be referred for electrophysiologic testing. Do you agree?
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