Syncope Flashcards

1
Q

What are the types of syncope?

A
Vasovagal 
Cough 
Effort
Micturition 
Epilepsy 
Hypoglycaemia 
Orthostatic hypotension
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2
Q

What are important history points to illicit?

A
LOC
Symptoms before 
How long they were out 
Any injuries 
Memories of after the syncope 
Background
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3
Q

What is vasovagal syncope?

A

Drop in HR and BP due to trigger

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4
Q

What can trigger vasovagal syncope?

A

Emotion
Stress
Pain
Standing too long = reflex bradycardia + vasodilation

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5
Q

Are there any pre-syncopal symptoms in vasovagal?

A

Nausea
Pallor
Sweating

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6
Q

What is cough syncope?

A

Weakness and LOC after coughing

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7
Q

What is effort syncope?

A

Syncope associated with exercise

Often cardiac related

  • aortic stenosis
  • HOCM
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8
Q

What is micturition syncope?

A

Syncope occurring with micturition - mostly men

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9
Q

How is syncope investigated?

A

History

Exam

  • CVS
  • neurological

L/S BP

ECG

BM

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