92 results
Syncope - Differential Diagnosis Framework
Reflex Syncope:
• Vasovagal: Prolonged standing, Stress, Pain
• Situational: Coughing, Sneezing, Micturition, Defecation,
Syncope - Differential ... Framework Reflex Syncope ... Atrophy Cardiogenic Syncope ... Cerebrovascular Syncope ... Subclavian steal syndrome
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 ... carotid sinus syndrome
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
Classification Reflex Syncope ... - Vasovagal syncope ... - Situational syncope ... PE Orthostatic Syncope ... Subclavian steal syndrome
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
assessment in Syncope ... missed in the syncope ... Wolff-Parkinson-White syndrome ... found in long QT syndrome ... also a short QT syndrome
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
Syncope in 3 Steps ... subclavian steal syndrome ... amyloidosis and other #Syncope
Rose Rule for syncope.  She made the point that an elevated BNP is a marker
Rose Rule for syncope ... for badness in syncope ... #Diagnosis #Syncope ... #ROSE #BRACES
Severe Aortic Stenosis on POCUS

Calcified Aortic valve leaflets with minimal opening. LVH likely secondary to AS
Aortic Stenosis on POCUS ... Echo first in syncope ... dizziness, SOB, and syncope ... Aortic #Stenosis #POCUS
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... • Sick Sinus Syndrome ... • Tachy-Brady Syndrome ... #Syncope #Cardiology
Headache Syndromes 
Sudden onset of pain - "Thunder clap" with any decreased mentation, any positive focal
Headache Syndromes ... vasoconstriction syndrome ... thrombosis Near syncope ... or syncope - Associated ... #Headache #Syndromes
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Pseudo-acute coronary syndrome ... ventricular arrythmia, syncope ... Recent flu-like syndrome