Syncope/collapse

Question 1

focussed hx

Answer 1

before:
what were u doing at time
associated symptoms before
recent illness

during:
how did you fall
how long on floor for
witnesses
was there any bleeding
were you found or did you call for help

after:
how did you get here
any symptoms right now?

broader hx:
medications (alcohol, vasodilators, antidepressants, diuretics)
previous episodes
PMHs (cardiac, diabetes, epilepsy)
FHx (cardiac)

Question 2

symptoms to rule out differentials

Answer 2

chest pain // exertion // palpitations // electrolyte disturbance // activity // coughing, sneezing, shaving etc

Question 3

possible Ix

Answer 3

ECG
bloods
CXR
CTPA
CT brain
EEG
cap glucose

Question 4

san francisco syncope rule (CHESS)

Answer 4

congestive HF
haematocrit<30%
abnormal ECG
SOB
SBP<90