Podcast 835: Syncope Review

<p><strong>Contributor: Meghan Hurley, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Syncope is defined as a loss of consciousness with an immediate return to baseline</span></li> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Differential is broad</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Cardiogenic</span></li> <ul> <li style="font-weight: 400;" aria-level="3"><span style= "font-weight: 400;">Structural (aortic stenosis, HOCUM, etc.)</span></li> <li style="font-weight: 400;" aria-level="3"><span style= "font-weight: 400;">Electrical (long QT syndrome, Brugada, etc.)</span></li> </ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Neurogenic/neurovascular (brain bleed, etc.)</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Seizure</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Everything else</span></li> <ul> <li style="font-weight: 400;" aria-level="3"><span style= "font-weight: 400;">Hypoglycemia, anemia, and bleeding into the abdominal cavity are some potential causes to rule out</span></li> </ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Vasovagal</span></li> <ul> <li style="font-weight: 400;" aria-level="3"><span style= "font-weight: 400;">Diagnosis of exclusion</span></li> </ul> </ul> <li style="font-weight: 400;" aria-level="1"><span style= "font-weight: 400;">Work Up</span></li> <ul> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">EKG</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Good H&P</span></li> <li style="font-weight: 400;" aria-level="2"><span style= "font-weight: 400;">Labs especially Hb and glucose</span></li> </ul> </ul> <p><strong>References</strong></p> <p><span style="font-weight: 400;">Morris