PPT-Syncope A work up for Internists and Hospitalists

Philip Dittmar January 31 2014 I have no conflicts of interest to disclose Syncope The current state in healthcare Classification of syncope Costs of a typical work up Ways to provide High Value Cost Conscious Care. Prior to syncope you may experience dizziness nausea palpit ations cold sweats shortness of breat h or chest discomfort Usua lly consciousness returns in a matter of seconds or minutes Fainting is fairly common and usually isnt caused by a serious o HSAJB. OBJECTIVES. Know . how to approach a patient with seizure/fits. Know . how to approach a patient with syncope. Differentiate . between fits and faints, and make a provisional diagnosis. Recognize . Alexander Thai. Emergency Medicine Resident PGY-1. Disclaimer. I have no affiliations or financial benefits from this lecture. Disclaimer. I have no affiliations or financial benefits from this lecture. Joseph P. . Ornato. , MD, FACP, FACC, FACEP. Professor & Chairman, Department of Emergency . Medicine. Syncope . –. A symptom, not a diagnosis. Self-limited loss of consciousness and postural tone. Tim Evans. July 30, 2014. Syncope Background. Syncope Podcast—Steve Carroll, DO. Syncope—. Saklani. P, Circulation. . 2013;127:1330-1339. Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department with Syncope—ACEP Clinical Policies . A Case-Based Approach to Diagnosis. Sarah Hodges, DO. Neurology. I have no disclosures to share. Objectives . Define syncope and seizure. Review natural history of syncope and seizure. List etiologies of seizure and syncope. Nothing to disclose. Syncope Is. t. he abrupt and transient loss of consciousness. associated with absence of postural tone. followed by complete and usually rapid spontaneous recovery. Syncope. alarming for the individual, witnesses, family, and providers. and . management. MUDr. . Jakub . Honěk. MUDr. Martin Horváth. Kardiologická klinika, 2.LF UK a FN Motol, Praha. The. . i. mportance. . of. . appropriate. . diagnostics. . a managementu . of. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis treatment and compassionate care of adults across the spectrum of health to complex Audience Insights2Communicating to Internists An internist specializes in internal medicine They often care for patients over the duration of their adult lives adolescents through seniors Recognized One Hospital Way Butler PA 16001 ButlerHealthSystemorgHospitalists are physicians who specialize in caring for hospitalized patients They do not maintain o31ce hours outside of the hospital In Bu Eric Johnson, MD. April 18, 2019. Finding the Needle in the Haystack. Disclosures. None. Objectives. List the most common causes of syncope in pediatric patients. Describe the mechanism of vasovagal syncope in one sentence. NEURO EXAMS . This takes about a minute… . Alertness . “Smile”. “Raise your eyebrows”. “Hands out in front, palms up… . Close your eyes, touch your nose . Eye movement . Grips (check pulses) . FEATURES INDICATING HOSPITALIZATION OR INTENSIVE EVALUATION OF SYNCOPEChest pain suggesting coronary ischemiaFeatures of congestive heart failureModerate or severe valvular diseaseModerate or severe s