Syncope resident survival guide: Difference between revisions

Jump to navigation Jump to search
Line 21: Line 21:
Shown below is an algorithm summarizing the approach to <nowiki>[[Syncope]]</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 }}  
{{familytree | | | | | | | | A01 |A01= Determine if there was loss of consciousness (LOC) }}  
{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
{{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 | | | | | | | | | | |C01= }}
{{familytree | |,|-|^|-|.| | | | | | | | | }}
{{familytree | |,|-|^|-|.| | | | | | | | | }}
{{familytree | D01 | | D02 | | | | | | |D01= |D02= |D03= }}
{{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> </div> ❑ Intoxication <br> ❑ Vertebrobasilar [[TIA]]</div> |C02= If yes: <br><div style="float: left; text-align: left;"> ❑ Transient LOC </div> }}
{{familytree | |!| | | | | | | | | |,|-|^|.| }}
{{familytree | |!| | | | | | | | | |,|-|^|.| }}
{{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }}
{{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }}

Revision as of 20:22, 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
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

References