Revisiion course

Question 1

scorres to know

Answer 1

CHAD2VASC

GCS

qSOFA

Question 2

constituents of the qsofa score?

Answer 2

GCS <15

RR > 22

SBP <100

score 2+ high risk of poor outcome/mortality

below one - not high risk

Question 3

how to ivx a postural hypertension?

Answer 3

BP lying and standing - difference >20

Tilt test - BP drops when moving upright, HR goes up

bonus; plasma noradrenaline test

Question 4

what is carotid sinus syndrome?

aeetiology?

Answer 4

Carotid sinus syndrome is defined, as syncope with reproduction of symptoms during carotid sinus massage (CSM) of 10s duration.

aetiology - unkown
spontaneous or tight collars, neck movements or rarely neck tumours.

Affects Old men with significant cardiac hx

Question 5

ivx of CSS?

Answer 5

Continuous ECG and BP whilst performing carotid sinus massage

find short periods of asystole

Question 6

how to manage CSS?

Answer 6

DEPENDS;

cardioinhibitory version - dual pacing

vasopressor type - not many options

Question 7

what is Carotid sinus hypersensitivity?

Answer 7

Carotid sinus hypersensitivity is a positive result of carotid sinus massage (on ecg) in the absence of clinical symptoms.