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- FINALS: Presentations > Loss of Conscious > Flashcards

Loss of Conscious Flashcards

1
Q

Cardio Causes

A 
Aortic Stenosis
Complete Heart Block
VT
SVT
ACS
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2
Q

Resp Causes

A

PE

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3
Q

Neuro Causes

A

Seizures
Brain Tumour
Stroke/TI
Head trauma +/- bleed

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4
Q

Endocrine Causes

A

Hypoglycaemia

Addisonian Crisis

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5
Q

Hypotensive Causes

A

Vasovagal
Hypovolaemia
Anti-hypertensive meds
Autonomic disturbance due to diabetic neuropathy

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6
Q

Haematology Causes

A

Anaemia

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7
Q

Psychiatric Causes

A

Anxiety

Hyperventilation

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8
Q

Other

A

Carotid Sinus Hypersensitivity

Micturation/cough syncope

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9
Q

Bedside Ix

A

Lying and Standing BP
ECG
BM (<4)

Medication R/v

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10
Q

Bloods Ix

A

FBC, LFTs, UEs, CRP

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11
Q

Imaging

A

ECHO: structural heart disease

CT head: bleed, malignancy, trauma, stroke

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12
Q

Special Tests

A

24 hour tape cardiac monitoring

EEG + Neuro review if first fit

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13
Q

RED FLAGS

- Cardiac

A

Must rule out cardiac cause

  • No prodrome
  • Sudden LOC without warning
  • No defensive injuries e.g. bruises on face
  • PMHx IHD, structural heart disease, previous episodes
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14
Q

Must Ask Before?

A

What were they doing?
Any warning?
Any chest pain, palpitations, SOB?
Last thing you remember?

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15
Q

Must Ask During?

A

Did anyone witness?
Did you black out?
Any loss of continence, tongue biting (sides = epilepsy), visible fitting?

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16
Q

Must Ask After?

A

Any injury (esp.head)
On warfarin?
Quick recovery or post ictal?

17
Q

PMHx Risk Factors

- For arrhythmia

A 
Coronary artery disease
High Blood Pressure  
Diabetes  
High cholesterol  
Sleep apnoea 
Family history of heart disease  
Advancing age (getting older)
18
Q

Social Risk Factors

- For arrhythmia

A 
Smoking
Alcohol
High Fat Diet/Obesity
Stress
Drug abuse
19
Q

Non-modifiable RF

A

Family history of heart disease

Advancing age

- FINALS: Presentations (30 decks)

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