Loss of Consciousness Flashcards
1
Q
26yo 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 after regaining consciousness (as witnessed by his colleagues)
A
GENERALIZED TONIC-CLONIC SEIZURE convulsive syncope substance abuse/overdose malingering hypoglycemia
cbc electrolytes, glucose urine toxicology eeg mri brain ct head LP ecg
2
Q
55yo M c/o falling after feeling dizzy and unsteady. He experienced transient loss of consciousness. His past medical history is significant for hypertension and diabetes mellitus.
A
DRUG-INDUCED ORTHOSTATIC HYPOTENSION (CAUSING SYNCOPE) hypoglycemia cardiac arrhythmia syncope (vasovagal, other causes) stroke MI pulmonary embolism
orthostatic vital signs cbc electrolytes, glucose echocardiography CT head V/Q scan CTA -chest with IV contrast D-dimer
3
Q
65yo M presents after falling and losing his consciousness for a few seconds. He had no warning before passing out but recently had palpitations. His history includes a coronary artery bypass graft.
A
CARDIAC ARRHYTHMIA (CAUSING SYNCOPE) severe aortic stenosis syncope (other causes) seizure pulmonary embolism
ecg holter monitoring cbc electrolytes, glucose echocardiography ct head
