LOC

Transient

syncope

recent trauma, HA, confusion, amnesia

CONCUSSION

palpitations

any position, seizure, weakness/numbness, aura

erect, trigger, emotional trigger

METABOLIC

supine --> standing

REFLEX/ORTHOSTATIC

VASOVAGAL

CARDIAC

NEURO

seizure

TIA

Prolonged

Renal

Hepatic

Endocrine

Metabolic

Hematologic

Anaphylaxis/Pulmonary

Sepsis

Cardiac

DRUGS

Neurologic

Hypothermia

Uncontrolled HTN

Seizure

SAH

CVA

BRAIN TUMOR

SOB, Recent MI, Chest pain

HEART FAILURE

Decerebrate/decorticate rigidity, facial asymm, pupil asymmetry

froth, weight loss

hypotension, murmur

SOB, dec O2, dec breath sounds

EFFUSION

PNEUMOTHORAX

AG Normal

AG High

dec acid elim

loss of HCO3-

RTA
CKD

SEVERE DIARRHEA

"DALS"
DKA
ALCOHOL
LACTIC ACIDOSIS
SALICYCLATE OVERDOSE

Fatigue, cold intolerance

MYXEDEMA COMA

Swelling

RENAL FAILURE

Chronic ETOH use, ascites, GI bleed, viral hepatitis

LIVER FAILURE

Diarrhea, dehydration, decreased Urine output, skin turgor

bleeding, multiple organ failure

DIC

Untreated infxn, low BP, fever, hypotension, tachycardia

SEPTIC SHOCK

No diagnostic test
No treatment

Check BP
Orthostatic
Drop in systolic BP > 20 mmHg and diastolic BP > 10 mmHg
Within 5 min
Skin turgor
Urine output

Cardiac exam
EKG
V Tach
A Fib
Long QT etc

EEG
Check for sec causes
Glucose, CMP, drugs etc.
CT head

Check for Lucid interval
CT head
R/O subdural hematoma etc.

needle marks, pupils