A Practical Approach to Syncope

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Case Hx 5Episode of <strong>Syncope</strong>young• 32 yr old female executive• On a flight back from UK (UL), one hour beforelanding• Not got up from seat.• Not eaten much or drunk water• Several glasses of wine during flight• On Nicardia for hypertension• Highly positive Tilt testlongperiodofsittingVasodilatationDehydration
Examination• Cardiac murmurs• CNS exam• Carotid sinus massage• Orthostatic BP measuring• Injuries
Page 1 and 2: A Practical Approach to SyncopeDr.
Page 3 and 4: Exclusions• Conditions with LOC b
Page 6 and 7: Pre-syncope ↔ Syncope?
Page 8 and 9: Hx of syncope episodeLatest episode
Page 10 and 11: • Time of episode- Early morning
Page 12 and 13: Posture and situation cont.• Emot
Page 14 and 15: Preceding symptoms• Palpitations-
Page 16 and 17: During syncope• Tonic clonic move
Page 18 and 19: Recovery• Spontaneous and complet
Page 20 and 21: VVSStructural HDAutonomic failureDr
Page 24 and 25: After Hx & ExDefinite Syncope• Ve
Page 26 and 27: InvestigationsEchocardiogram• AS/
Page 28 and 29: InvestigationsTruesyncopeAppropriat
Page 31 and 32: Carotid massage
Page 35 and 36: Bradycardiastudy
Page 39 and 40: High Risk Patients who may need adm
Page 41: Case Hx 6• 68 year old women• H

A Practical Approach to Syncope

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