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The Curbsiders Internal Medicine Podcast

#442 Syncope: Live from SHM #Converge24 with Dr. Dan Dressler

Jun 3, 2024
Dr. Dan Dressler from Emory University shares insights on managing syncope cases. Topics covered include categorizing syncope, initial workup, risk scores, cardiac evaluation, and take-home points for safely discharging low-risk patients. The podcast delves into a framework for understanding different syncope types, strategies for high-risk cases, and the link between syncope and pulmonary embolism.
01:13:19

Episode guests

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Quick takeaways

  • Recognize seizure indicators during syncope: lateral tongue biting, urinary incontinence, and prolonged post-ictal state.
  • Tailor syncope workup with EKG, orthostatic vital signs, and judicious use of additional tests based on clinical presentation.

Deep dives

Differentiating Syncope from Seizure

In evaluating a syncope episode, it is critical to distinguish it from seizure. Key indicators of seizure during a syncope episode include lateral tongue biting, urinary incontinence, and a post-ictal state lasting for an extended period. Moreover, myoclonic jerks commonly seen post-syncope are not indicative of seizure if brief and usually last for a few seconds. Understanding these distinctions helps in accurate diagnosis and appropriate management.

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