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12 Cards in this Set
- Front
- Back
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Key History -
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Presence or absence of preceding Sxs -
nausea diaphoresis palpitation pallor lightheadedness context - exertional postural traumatic stressful painful claustrophobic experience dehydration tongue biting incontinence tonic-clonic movements prolonged confusion dyspnea or PE risk factors h/o heart disease, arrhythmia alcohol and drug use |
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Key PE -
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VS
orthostatics complete neuro exam carotids cardiac lung |
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26 y/o M
presents after falling and losing consciousness at work. He had rhythmic movements of the limbs, bit his tongue and lost control of his bladder. He was subsequently confused (as witnessed by his colleagues). What is Differential? |
Seizure, grand mal
(complex tonic-clonic) convulsive syncope substance abuse/overdose malingering hypoglycemia |
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26 y/o M
presents after falling and losing consciousness at work. He had rhythmic movements of the limbs, bit his tongue and lost control of his bladder. He was subsequently confused (as witnessed by his colleagues). What is Workup? |
CBC, electrolytes, glucose
urine tox EEG MRI - brain CT - head LP - CSF analysis ECG |
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55 y/o M
c/o falling after feeling dizzy and unsteady. He experienced transient LOC. Has has HTN and is on numerous antihypertensive meds What is Differential? |
Drug-induced orthostatic
hypotension cardiac arrhythmia syncope stroke MI PE |
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55 y/o M
c/o falling after feeling dizzy and unsteady. He experienced transient LOC. Has has HTN and is on numerous antihypertensive meds What is Workup? |
Orthostatic VS
CBC electrolytes CT - head ECG V/Q scan CT - chest with IV contrast |
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65 y/o M
presents after falling and losing consciousness for a few seconds. He had no warning prior to passing out, but recently had palpitations. His past Hx includes CABG. What is Differential? |
Cardiac arrhythmia
severe aortic stenosis syncope seizure PE |
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65 y/o M
presents after falling and losing consciousness for a few seconds. He had no warning prior to passing out, but recently had palpitations. His past Hx includes CABG. What is Workup? |
ECG
holter monitoring CBC, electrolytes glucose echocardiography CT - head |
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55 y/o M
c/o falling after feeling dizzy and unsteady. He experienced transient LOC. Has has HTN and is on numerous antihypertensive meds What is Differential? |
Drug-induced orthostatic
hypotension cardiac arrhythmia syncope stroke MI PE |
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|
55 y/o M
c/o falling after feeling dizzy and unsteady. He experienced transient LOC. Has has HTN and is on numerous antihypertensive meds What is Workup? |
Orthostatic VS
CBC electrolytes CT - head ECG V/Q scan CT - chest with IV contrast |
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65 y/o M
presents after falling and losing consciousness for a few seconds. He had no warning prior to passing out, but recently had palpitations. His past Hx includes CABG. What is Differential? |
Cardiac arrhythmia
severe aortic stenosis syncope seizure PE |
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|
65 y/o M
presents after falling and losing consciousness for a few seconds. He had no warning prior to passing out, but recently had palpitations. His past Hx includes CABG. What is Workup? |
ECG
holter monitoring CBC, electrolytes glucose echocardiography CT - head |
