1 / 13

4MB Clinical Problem-Solving

This clinical presentation by Dr. Gerard Flaherty explores syncope, characterized by sudden loss of consciousness and postural tone. Key questions focus on potential precipitants, aura, and previous episodes to identify underlying causes. Physical examination includes heart rate, blood pressure, and potential murmurs. Investigations recommended encompass ECG, holter monitoring, echocardiogram, and more to assess for conditions like vasovagal syncope, arrhythmias, or structural heart issues. This structured approach aids in accurate differential diagnosis and management strategies for patients experiencing syncope.

hyatt-thomas
Télécharger la présentation

4MB Clinical Problem-Solving

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 4MB Clinical Problem-Solving Dr. Gerard Flaherty Dept. of Medicine

  2. Presenting Complaint: Syncope

  3. Is it Syncope? • Syncope is a sudden and brief loss of consciousness associated with a loss of postural tone, from which recovery is spontaneous.

  4. Any precipitants? Any aura? What was the patient doing at the time? ?Turning head ?Standing up suddenly ?Exertional syncope Any previous episodes? Any sweating or nausea? Palpitations? Rhythmic movements? Any headache? Any arm exercise? ?Confused after episode ?Family history of sudden death History of Presenting Complaint

  5. Physical Examination • Heart rate and rhythm • Lying and standing BP • BP in both arms • Loud P2 • Heart murmurs • Tumour plop (?atrial myxoma)

  6. Investigations • ECG • Holter monitor • Event monitor • Echocardiogram • FBC • SMAC • Electrophysiologic studies • Tilt testing (?carotid sinus hypersensitivity) • EEG • CT Brain

  7. HOCM

  8. Vasovagal syncope Situational syncope Carotid sinus hypersensitivity Postural hypotension Medications Arrhythmias Aortic stenosis Mitral stenosis Hypertrophic cardiomyopathy Complete heart block Long QT interval Atrial myxoma Transient ischaemic attack Vertebrobasilar ischaemia Subclavian steal Basilar migraine Pulmonary embolism Pulmonary hypertension Psychiatric illness Differential Diagnosis

  9. Atrial Fibrillation

  10. Complete Heart Block

  11. Permanent Pacemaker

  12. Long QT Syndrome

  13. Next Week….Chest Pain

More Related