LOSS OF CONSCIOUSNESS Flashcards
LOC key hx: assoc. sxs
preceding sxs (nausea, diaphoresis, palpitations, pallor, lightheadedness)
context (exertional, postural, traumatic, stressful, painful, claustrophobic experience, dehydration)
tongue biting
incontinence
tonic-clonic movements
prolonged confusion
dyspnea/PE RFs
LOC key hx: med hx
hx of heart dz/arrythmia/htn/diabetes
LOC key hx: soc hx
alcohol and drug use
LOC key hx: meds
medications/recent changes
LOC key hx: fam hx
fam hx sudden death
LOC key PE
VS (orthostatics) complete neuro carotid and cardiac exam lung exam exam of lower extremities
generalized tonic-clonic seizure ddx
convulsive syncope
substance abuse/overdose
malingering
hypoglycemia
generalized tonic-clonic seizure w/u
cbc elytes, glucose ur tox eeg mri brain ct head lp -- csf analysis ecg
drug-induced orthostatic hypotension causing syncope ddx
hypoglycemia cardiac arrhythmia syncope (vasocagal, etc) stroke mi pulmonary embolism
drug-induced orthostatic hypotension causing syncope w/u
orthostatic VS cbc elytes, glucose echocardiography ct head ecg v/q scan cta chest w/ d-dimer
cardiac arrhythmia causing syncope ddx
severe ao stenosis
syncope (vasovagal, etc)
seizure
pulm emb
cardiac arrhythmia causing syncope w/u
ecg holter monitoring cbc elytes, glucose echocardiography ct head
