The Clinical Problem Solvers Episode 350 – Spaced Learning Series – nausea, vomiting and syncope
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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.
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Episode notes
Syncope Mimickers
- Remember the syncope mimickers: seizure, stroke, and hypoglycemia (sugar).
- Thorough patient history is crucial to differentiate true syncope from other conditions.
Cardiogenic Syncope
- Cardiogenic syncope is a crucial "no-miss" diagnosis.
- This can manifest as arrhythmias (e.g., SVT, VT, heart block) or structural issues (e.g., aortic stenosis, PE).
Syncope Red Flags
- Syncope red flags suggest a cardiogenic etiology.
- These include exertion, no prodrome, supine position, and abnormal EKG or heart disease.