The Clinical Problem Solvers
Episode 350 – Spaced Learning Series – nausea, vomiting and syncope
Aug 22, 2024
Dive into a complex case featuring a 56-year-old woman grappling with nausea, vomiting, and syncope, revealing the intricacies of differential diagnoses. Explore the interplay of chronic gastrointestinal symptoms and nutritional deficiencies, emphasizing the importance of interdisciplinary collaboration. Discover the challenges in diagnosing functional gastrointestinal disorders amidst evolving terminology. Finally, understand the gut-brain connection and the vital need for patient validation and support during health crises.
35:46
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Quick takeaways
- Differentiating true syncope from its mimickers is crucial for accurate diagnosis and effective treatment in clinical practice.
- Chronic nausea and vomiting can indicate significant gastrointestinal issues, requiring thorough investigation and patient communication to address concerns.
Deep dives
Understanding Syncope
Syncope is defined as a transient loss of consciousness caused by global cerebral hypoperfusion. A significant drop in systolic blood pressure, around 50 mmHg or less, can lead to this condition. It's essential to differentiate between true syncope and its mimickers, such as seizures, strokes, or hypoglycemia. Recognizing the various types of syncope, including neurally mediated, orthostatic hypotension, and cardiogenic causes, helps clinicians to approach diagnosis systematically.
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