33 results
Syncope - Cerebral hypoperfusion leading to transient lsos of consciousness causing alck of postural tone with
Syncope - Cerebral ... , situational, carotid ... 21-48%) • Non-syncopal ... (17-37%) Non-Syncope ... @AnnKumfer #Syncope
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Syncope - Differential ... percentage of syncopal ... Vasovagal • Carotid ... Others Non-syncopal ... Unknown - 2% #syncope
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... Post-exercise • Carotid ... Atrophy Cardiogenic Syncope ... Cerebrovascular Syncope
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic ... determine etiology of syncope ... determine etiology of syncope ... Orthostatic BP, Carotid ... EricsMedicalLectures/ #Syncope
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Classification Reflex Syncope ... - Vasovagal syncope ... - Situational syncope ... Post-exercise - Carotid ... PE Orthostatic Syncope
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
Syncope is a sudden ... divided into cardiac syncope ... and noncardiac syncope ... such as reflex syncope ... vasovagal responses or carotid
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Syncope in 3 Steps ... , situational, carotid ... amyloidosis and other #Syncope
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
assessment in Syncope ... missed in the syncope ... syndrome – look for a short ... elevation Now syncope ... there is also a short
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... long P • ↑ Ca - short ... delta wave and short ... (>480-500ms) Short ... Wong @mchlwng #Syncope
Lemierre’s Syndrome - Pathophysiology

Lemierre’s is an infectious thrombophlebitis of the internal jugular vein.

 - It starts
- It starts ... and get into the carotid ... penetrates the carotid