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SUMMARY A 25-year-old woman presented to the emergency department with a 1-day history of nausea, fatigue, exertional lightheadedness, and a syncopal event without witnessed seizure activity or urinary incontinence.   STUDENT DISCUSSION Monica R. Hill, Mark R. Hopkins, and Claire E. Knezevic* Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD. *Address …