Abstract
A 23 year-old male presented to the Emergency Department (ED) with acute abdominal pain, agitation and tachypnea. He seizured within fifteen minutes of his arrival and was found to have acute respiratory alkalosis. After sedation and observation he felt better and was sent home, only to return two hours later due to abdominal pain. Surgery revealed an acute appendicitis. Hyperventilation syndrome is commonly triggered by anxiety, but anxiety too usually has a precipitating cause; in this case pain. Always be sure that your discharge diagnosis is compatible with your initial complaint and that you have performed a careful physical examination to avoid being embarrassed by the patienl’s early return.
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