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Jason's MD2 Intersession 1 > Syncope in Adults > Flashcards

Syncope in Adults Flashcards

0
Q

syncope malignant or benign?

A

usually beningn and self limiting

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1
Q

Syncope definition?

A

abrupt transient loss of consciousness, postural tone, complete and rapid recovery

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2
Q

aim of syncope evaluation?

A

risk stratification

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3
Q

Top 2 causes of syncope usually?

A

Vasovagal

Arrythmia

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4
Q

name 4 non syncope conditions:

A

fall
TIA
cardiac arrest
Presyncope

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5
Q

Investigate what if syncope + headache?

A

headache

think SAH

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6
Q

Investigate what if syncope + chest pain?

A

chest pain

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7
Q

Investigate what if syncope + dyspnea?

A

dyspnea

think PE

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8
Q

first 3 things to think about for initial evaluation of syncope?

A

actually syncope?

Seizure?

risk of death?

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9
Q

what part of syncope history is important for duration and recovery?

A

collateral history

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10
Q

when should we be worried about recurrent episodes?

A

New onset is more concerning

Recurrent means they may be predisposed

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11
Q

causes of vasovagal syncope?

A

hot environment
diaphoresis
nausea
pallor

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12
Q

kinds of situational syncope

A 
prolonged standing
post-prandial
fear
pain
cough
defecating
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13
Q

what does vagal surge cause?

A

bradycardia and hypotension

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14
Q

what is neck movements cause syncope?

A

hypersensitive carotid sinus

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15
Q

what can cause exertion related syncope?

A

aortic stenosis,
V-arryth
prolonged QT

16
Q

predisposition for syncope?

A

anaemia

17
Q

why is Long QT dangerous?

A

risk of arrythmia, v-fib, as there is a longer relative refractory period and more can go wrong

18
Q

what is Wolfe Parkinson Whyte

A

congenital: , an extra electrical pathway between your heart’s upper chambers (atria) and lower chambers (ventricles) causes a rapid heartbeat (tachycardia

19
Q

what indicates Wolfe Parkinson Whyte on ECG?

A

delta waves, tall QRS waves

Jason's MD2 Intersession 1 (14 decks)

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