This weeks case highlights the challenges of a syncopal work-up (neurology vs. cardiology).

The patient was admitted to the hospitalist service for telemetry monitoring and formal neurology consult in the AM. Hospitalist ream requested head CT prior to admission, which was normal. Neurology and cardiology consulted while admitted, thought presentation not consistent with seizures or cardiogenic syncope and more consistent with FND vs POTS + costochondritis. Patient had no further workup while admitted. Received PT/OT and had improved exam and was discharged home with outpatient follow up and high-dose ibuprofen.  

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