The Collapsing Child

What is the differential diagnosis for a child with syncope? Name at least 4 possible causes.

What red flag signs/symptoms from the history would suggest that a child’s collapse was not just a benign faint?

What bedside investigations would you request to help diagnosis? Give at least two.

The mother mentions that his uncle died at the age of 24. But she can’t remember much else, as she was still very young then.

The nurse hands you the patients ECG:

Looking at the ECG, what do suspect is wrong with the patient? Why is important not to miss this?

What would be your management plan and what advice would you give to the parents and the patient while they are waiting to be seen by the cardiologist?