A Practical Approach to Syncope

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Hx of syncope episodeLatest episode• Time of episode• Posture and Situation• Pre-syncope symptoms• Syncope description• RecoveryPrevious episodes
Case Hx 112 yr old girlEpisode of fainting in the morning duringassembly at school. She had started sweating,vision became blurred and friends said shebecame pale. Had collapsed onto the floor butrecovered immediately. Perfectly normal afterrecovery. Two previous episodes, once in Sundayschool while taking ‘pan sil’ and the other on theway back from school standing in a crowded bus.
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 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 22 and 23: Case Hx 5Episode of Syncopeyoung•
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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