Syncope resident survival guide: Difference between revisions
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==Management== | ==Management== | ||
Shown below is an algorithm summarizing the approach to <nowiki>[[ | Shown below is an algorithm summarizing the approach to <nowiki>[[syncope]]</nowiki>. | ||
{{familytree/start}} | {{familytree/start}} | ||
{{familytree | | | | | | | | A01 |A01= Determine if there was loss of consciousness (LOC) }} | {{familytree | | | | | | | | A01 |A01= Determine if there was loss of consciousness (LOC) }} | ||
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{{familytree | |,|-|^|-|.| | | | | | | | | }} | {{familytree | |,|-|^|-|.| | | | | | | | | }} | ||
{{familytree | C01 | | C02 | | | | | | |C01='''If no to one or more of this questions; exclude the following before proceeding with syncope evaluation:''' <br> <div style="float: left; text-align: left;"> ❑ Coma <br> ❑ Aborted [[SCD]] <br> ❑ Epilepsy <br> ❑ Metabolic disorders: <br> ♦ [[Hypoglycemia]] <br> ♦ [[Hypoxia]] <br> ♦ Hyperventilation with [[hypocapnia]] <br> ❑ Intoxication <br> ❑ Vertebrobasilar [[TIA]]</div> |C02= '''If yes:''' <br><div style="float: left; text-align: left;"> ❑ Transient LOC </div> }} | {{familytree | C01 | | C02 | | | | | | |C01='''If no to one or more of this questions; exclude the following before proceeding with syncope evaluation:''' <br> <div style="float: left; text-align: left;"> ❑ Coma <br> ❑ Aborted [[SCD]] <br> ❑ Epilepsy <br> ❑ Metabolic disorders: <br> ♦ [[Hypoglycemia]] <br> ♦ [[Hypoxia]] <br> ♦ Hyperventilation with [[hypocapnia]] <br> ❑ Intoxication <br> ❑ Vertebrobasilar [[TIA]]</div> |C02= '''If yes:''' <br><div style="float: left; text-align: left;"> ❑ Transient LOC </div> }} | ||
{{familytree | {{familytree | | | |,|-|^|-|.| | | | | | }} | ||
{{familytree | {{familytree | | | E01 | | E02 | | |E01= Non traumatic |E02= Traumatic }} | ||
{{familytree | | | | | | | | | | | | {{familytree | | | |!| | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | {{familytree | | | F01 | | | | | | |F01=<div style="float: left; text-align: left;"> ❑ Syncope <br> ❑ Seizure <br> ❑ Psychogenic</div> }} | ||
{{familytree/end}} | {{familytree/end}} | ||
==References== | ==References== | ||
Revision as of 20:26, 9 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Karol Gema Hernandez, M.D. [2]
Definition
This section provides a short and straight to the point definition of the disease or symptom in one sentence.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Common Causes
Management
Shown below is an algorithm summarizing the approach to [[syncope]].
| Determine if there was loss of consciousness (LOC) | |||||||||||||||||||||||||||||||||
| If yes: ❑ Rapid onset? ❑ Short duration? ❑ Spontaneous complete recovery? | If no: ❑ Cataplexy ❑ Drop attacks ❑ Falls ❑ Functional /psychogenic pseudosyncope ❑ TIA of carotid origin | ||||||||||||||||||||||||||||||||
| If no to one or more of this questions; exclude the following before proceeding with syncope evaluation: ❑ Coma ❑ Aborted SCD ❑ Epilepsy ❑ Metabolic disorders: ♦ Hypoglycemia ♦ Hypoxia ♦ Hyperventilation with hypocapnia ❑ Intoxication ❑ Vertebrobasilar TIA | If yes: ❑ Transient LOC | ||||||||||||||||||||||||||||||||
| Non traumatic | Traumatic | ||||||||||||||||||||||||||||||||
❑ Syncope ❑ Seizure ❑ Psychogenic | |||||||||||||||||||||||||||||||||