Syncope

Syncope has a broad differential. Here is the:
1.) Anatomical Approach to the history.
2.) A list of Critical Diagnoses, don’t miss.
3.) A Risk Assessment Tool, for decision on admission.

Investigations required for all Patients with complaint of Syncope:

show investigations

Anatomical Approach – History Questions  and Relevant Physical Exam:

CNS
HEART
LUNGS
VASCULAR
BLOOD

Critical Diagnoses:

SAPTABE (Mnemonic)

Critical Diagnoses Requiring Investigations:

QTBRIDE (Mnemonic)

When to Admit?

CHESS (Mnemonic) from the San Francisco decision rule re: risk score

References:

* http://emclerkship.com/wp-content/uploads/2016/03/SYNCOPE-PDF.pdf, with accompanying Podcast:http://emclerkship.com/syncope/