Posted by Andy Jagoda MD in: Brain Tease , 1 comment so far
Syncope is the transient loss of consciousness and postural tone, with spontaneous recovery. It accounts for approximately 1% of all emergency department visits and $5.6 billion in healthcare costs annually.
Posted by Andy Jagoda MD in: Feature Update , add a comment
Our recent issue Emergency Department Management of Syncope reviews the clinical and diagnostic findings that are useful for safely and efficiently identifying patients presenting to the emergency department with syncope.
Case Conclusion — Brief Loss of Consciousness
April 6, 2014
Posted by Andy Jagoda, MD in: Neurologic Emergencies , add a comment
Case conclusion:? The 51-year-old bicyclist who was also a marathon runner did not have improvement of her SBP, which remained at 90 mm Hg. Furthermore, she had throat pain, which could have been an angina equivalent. Your primary concern was that she had a cardiac outflow problem because of an aortic dissection or a pulmonary embolism. A neurally mediated component to her syncopal event could not be excluded. A CT aortogram was ordered to assess for dissection. It showed a type A aortic dissection starting in the ascending aorta extending to just above her renal arteries. Her spinal cord arteries originated from the true lumen, explaining why she had no neurologic or other symptoms. The throat pain was attributed to radiating pain from the intimal tear in her ascending aorta. She developed pain between her shoulder blades later during her stay in the ED while awaiting surgical intervention. She made a full recovery after surgery.
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Brief Loss of Consciousness
March 31, 2014
Posted by Andy Jagoda, MD in: Neurologic Emergencies , 13 comments
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