Syncope resident survival guide: Difference between revisions

Revision as of 20:33, 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

Diagnostic Algorithm for Syncope

Determine if there was 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

@@ Line 21: / Line 21: @@
 ===Diagnostic Algorithm for Syncope===
 {{familytree/start}}
-{{familytree | | | | | | | | A01 |A01= Determine if there was loss of consciousness (LOC) }}
+{{familytree | | | | | | | | A01 |A01= Determine if there was [[LOC]] }}
 {{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
-{{familytree | | | B01 | | | | | | | | B02 | | |B01= '''If yes:''' <br> <div style="float: left; text-align: left;"> ❑ Rapid onset? <br> ❑ Short duration? <br> ❑ Spontaneous complete recovery? </div> |B02='''If no:''' <br> <div style="float: left; text-align: left;"> ❑ Cataplexy <br> ❑ Drop attacks <br> ❑ Falls <br> ❑ Functional /psychogenic pseudosyncope <br> ❑ [[TIA]] of carotid origin </div>}}
+{{familytree | | | B01 | | | | | | | | B02 | | |B01= '''If yes:''' <br> <div style="float: left; text-align: left;"> ❑ Rapid onset? <br> ❑ Short duration? <br> ❑ Spontaneous complete recovery? </div> |B02='''If no:''' <br> <div style="float: left; text-align: left;"> ❑ [[Cataplexy]] <br> ❑ Drop attacks <br> ❑ Falls <br> ❑ Functional /psychogenic pseudosyncope <br> ❑ [[TIA]] of carotid origin </div>}}
 {{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 | | | E01 | | E02 | | |E01= Non traumatic |E02= Traumatic }}
 {{familytree | | | |!| | | | | | | | | | | | | }}
-{{familytree | | | F01 | | | | | | |F01=<div style="float: left; text-align: left;"> '''❑ Syncope''' <br> ❑ Seizure <br> ❑ Psychogenic</div> }}
+{{familytree | | | F01 | | | | | | |F01=<div style="float: left; text-align: left;"> '''❑ Syncope''' <br> ❑ [[Seizure]] <br> ❑ Psychogenic</div> }}
 {{familytree/end}}
 ==References==