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Syncope - Introduction

Mel Herbert, MD MBBS FAAEM, Mizuho Spangler, DO, Stuart Swadron, MD FAAEM, and Jessica Mason, MD
00:00
12:46
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No me gusta!

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C3 - Syncope Written Summary 420 KB - PDF

Jess starts out with a patient interview, then Stu and Miz give us the introduction to syncope.

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David L. -

What about bradycardia changes to look for in ECG? You completely missed blocks especially the subtle ones that residents need to look out for and often overlook like tri-fascicular block (1st degree AVB, LAFB/LAD and RBBB). The patient may be going in and out of complete hear block and if you're only looking for tachy-arrhythmias, Brugada, HOCM etc you'll miss a life threatening diagnosis.

David L. -

One item that I find useful in history is the fluid history especially in elderly people whose thirst mechanism isn't great (over 70's). It's amazing how many older people live on only two cups of tea a day. Then, when they go to the mall, they don't like to use the public wash rooms and so don't even drink that. Add in a little splanchnic "steal" when they have lunch at the food court and over they go. A good pointer to this is to ask about post-prandial drowsiness which happens if you're subclinically dry. (Used to happen to me the meal after every shift, until I learnt to always have a water bottle with me. I never had time to go to the break room to drink.)

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C3 - Syncope Full episode audio for MD edition 48:45 min - 68 MB - M4ASyncope - Introduction C3: Continuous Core Content 12:46 min - 15 MB - MP3Syncope - Can't Miss Diagnosis C3: Continuous Core Content 11:47 min - 13 MB - MP3Syncope - Initial Approach C3: Continuous Core Content 10:32 min - 12 MB - MP3Syncope - Disposition C3: Continuous Core Content 13:40 min - 16 MB - MP3C3 - Syncope - Board Review Answers 150 KB - PDFC3 - Syncope - Board Review Questions 1 MB - PDFC3 - Syncope MP3 38 MB - ZIPC3 - Syncope Written Summary 420 KB - PDF