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| | | [[Syncope]] is classified into three types: |
| Syncope, must be differentiated from other diseases that may cause, altered mental status, motor and or somatosensory deficits. The table below, summarizes the neurologic differential diagnosis for syncope:
| | * [[Cardiac]] |
| {|
| | * [[Neurogenic]] |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diseases
| | * [[Vasovagal syncope|vasovagal]] |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
| |
| ! colspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Symptoms
| |
| ! colspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Physical Examination
| |
| ! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Diagnostic tests
| |
| ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other Findings
| |
| |-
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Headache
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |↓ LOC
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Motor weakness
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Abnormal sensory
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Motor Deficit
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensory deficit
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Speech difficulty
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gait abnormality
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Cranial nerves
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |CT/MRI
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |CSF
| |
| ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard test
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Subdural hematoma|Subdural hemorrhage]]<ref name="pmid216947552">{{cite journal| author=Birenbaum D, Bancroft LW, Felsberg GJ| title=Imaging in acute stroke. | journal=West J Emerg Med | year= 2011 | volume= 12 | issue= 1 | pages= 67-76 | pmid=21694755 | doi= | pmc=3088377 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21694755 }}</ref><ref name="pmid218073452">{{cite journal| author=DeLaPaz RL, Wippold FJ, Cornelius RS, Amin-Hanjani S, Angtuaco EJ, Broderick DF et al.| title=ACR Appropriateness Criteria® on cerebrovascular disease. | journal=J Am Coll Radiol | year= 2011 | volume= 8 | issue= 8 | pages= 532-8 | pmid=21807345 | doi=10.1016/j.jacr.2011.05.010 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21807345 }}</ref>
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Trauma]]
| |
| *Fall | |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |[[Xanthochromia]]
| |
| | align="center" style="background:#F5F5F5;" |CT scan without contrast
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Confusion]] | |
| *[[Dizziness]] | |
| *[[Nausea and vomiting]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Neurosyphilis]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Sexually transmitted disease]]
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |↑ [[Leukocytes]] and [[protein]]
| |
| | align="center" style="background:#F5F5F5;" |Specific: CSF [[VDRL]]
| |
| Sensitive: CSF FTA-Ab
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Blindness]]
| |
| *[[Confusion]]
| |
| *[[Depression]]
| |
| *Abnormal [[gait]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hypertensive encephalopathy]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Hypertension]]
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |NA
| |
| | align="center" style="background:#F5F5F5;" |Clinical assesment
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Delirium]]
| |
| *Cortical [[blindness]]
| |
| *[[Cerebral edema]]
| |
| *[[Seizure]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Wernicke's encephalopathy|Wernicke’s encephalopathy]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *History of alcohal abuse
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |NA
| |
| | align="center" style="background:#F5F5F5;" |Clinical assesment and lab findings
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Ophthalmoplegia]]
| |
| *[[Confusion]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Drug toxicity]]
| |
| | align="left" style="background:#F5F5F5;" |Medication history of
| |
| | |
| *[[Lithium]]
| |
| *[[Sedatives]]
| |
| *[[Phenytoin]]
| |
| *[[Carbamazepine]]
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |NA
| |
| | align="center" style="background:#F5F5F5;" |Drug screen test
| |
| | align="center" style="background:#F5F5F5;" |
| |
| * Confusion
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |Metabolic disturbances ([[electrolyte imbalance]], [[hypoglycemia]])
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |[[Hypoglycemia]], [[hyponatremia]], [[hypernatremia]], [[hypokalemia]], and [[hyperkalemia]]
| |
| | align="center" style="background:#F5F5F5;" |Depends on the cause
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Confusion]]
| |
| *[[Seizure]]
| |
| *[[Palpitation]]
| |
| *[[Sweating]]
| |
| *[[Dizziness]]
| |
| *[[Hypoglycemia]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Meningitis]] or [[encephalitis]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *History of [[fever]] and [[malaise]]
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |↑ Leukocytes, ↑ protein, ↓ glucose
| |
| | align="center" style="background:#F5F5F5;" |[[CSF analysis]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Fever]]
| |
| *Neck rigidity
| |
| *[[Confusion]]
| |
| |-
| |
| ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Seizure]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *Previous history of [[seizures]]
| |
| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" |–
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| | align="center" style="background:#F5F5F5;" |–
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| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" | +
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| | align="center" style="background:#F5F5F5;" |–
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| | align="center" style="background:#F5F5F5;" |–
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| | align="center" style="background:#F5F5F5;" | +
| |
| | align="center" style="background:#F5F5F5;" |–
| |
| | align="center" style="background:#F5F5F5;" |Mass lesion
| |
| | align="center" style="background:#F5F5F5;" |Clinical assesment and [[EEG]]
| |
| | align="left" style="background:#F5F5F5;" |
| |
| *[[Confusion]]
| |
| *[[Apathy]]
| |
| *[[Irritability]]
| |
| |}
| |
| {| class="wikitable"
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| |+
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| |-
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| | align="center" style="background: #4479BA; color: #FFFFFF |'''Common Causes of Sick sinus syndrome'''
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| ! style="background: #4479BA; color: #FFFFFF |''''''
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| ! style="background: #4479BA; color: #FFFFFF |''''''
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| ==Images==
| |
| [[Image:Intramural-hematoma-006.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| <br clear="left" />
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| [[Image:Intramural-hematoma-005.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| <br clear="left" />
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| [[Image:Intramural-hematoma-007.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| <br clear="left" />
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| [[Image:Intramural-hematoma-002.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| <br clear="left" />
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| [[Image:Intramural-hematoma-003.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| <br clear="left" />
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| [[Image:Intramural-hematoma-004.jpg|thumb|350px|left|Contrast enhanced CT: Aortic intramural hematoma, Courtesy of radiopaedia]]
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| {| border="3"
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Disease Name}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Age of Onset}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Gender Preponderance}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Signs/Symptoms}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Imaging Feature(s)}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Macroscopic Feature(s)}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Microscopic Feature(s)}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Laboratory Findings(s)}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| Other Feature(s)}}
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| ! style="background: #4479BA; width: 150px;" | {{fontcolor|#FFF| ECG view}}
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
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| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| |-
| |
| ! style="padding: 5px 5px; background: #DCDCDC; " align="left" |
| |
| | |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| | style="padding: 5px 5px; background: #F5F5F5;" align="left" |
| |
| |}
| |
| <references />
| |