syncope - vasovagal syncope?
SYNCOPE (in GREEK SYNCOPE=CUT OFF)
A transient loss of consciousness due to inadequate cerebral blood flow, with spontaneous recovery.
Also called blackout ,spell, faint, collapse.
PRE SYNCOPE
Sensation of impending loss of consciousness without progressing to loss of consciousness, but may progress to loss of consciousness.
PREDISPOSING FACTORS for syncope
Anxiety,fear,pain,exhaustion
Fasting,hot environment,lack of proper sleep
Poor health status
Most commonly provoked in standing position.
PRECIPITATING FACTORS for syncope
Cerebral anorexia
anemia
Prolonged attentive standing
consumption of alchohol.
spinal anesthesia.
Supine position in late pregnancy.
HYPO TENSION- CEREBRAL ISCHEMIA.
CLINICAL FEATURES OF SYNCOPE
Weakness
nausea
vomitting
Pain in epigastrium
hunger
Sweating
dizziness
pallor
light headedness
dilatation of pupil
low pulse pressure leading to Unconsciousness with ash Grey color skin
shallow respiration,weak pulse,low BP
Patient falls down,voluntary musculature is relaxed,clonic jerks of arms,twitching of facial muscles.
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