Collapse Flashcards
(9 cards)
1
Q
The 4 main causes of collapse
A
head, heart, vessels, drugs
2
Q
Give DDx diagnoses for causes of collapse in head?
A
Hypoxia
hypoglycaemia
epilepsy
dysfunction of brainstem - stroke, TIA
3
Q
Give DDx diagnoses for collapse with the heart?
A
Heart problems i.e. IHD emboli aortic obstruction rythm disorders tachyarrhtymias
4
Q
vessel causes of collapse
A
vasovagal ENT situational sensitive carotid sinus ectopic pregnancy low vascular tone subclavian steal
5
Q
What is the San Francisco syncope rule?
A
If someone has true syncope and any of the following features, admit - high 7 day mortality: CHESS C - history of cardiac failure H - hemotocrit < 39% E - abnormal ECG S - shortness of breath S - systolic <90
6
Q
What is the OESIL risk score?
A
Works out risk of cardiac death
7
Q
What OESIL risk score increases the risk of cardiac death?
A
> 2
8
Q
What factors influence the OESIL risk score?
A
age >65 years
history of CVS disease
syncope w/o prodomes
abnormal ECG
9
Q
What’s the neurological assessment after collapse?
A
cranial nerves, peripheral nerves, cerebellar, gait, AMTS, fundi, NIHSS (risk stratification if need to thrombolysed), GCS, pupils, lateralising signs, cap glucose
