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Syncope - Coggle Diagram

- - - - History of coronary artery disease
      - Risk factors for coronary artery disease
        
        Male
        
        Hypertension
        
        Diabetes
        
        Obesity
        
        Hyperlipidaemia
        
        Age
      - Examination
        
        Pale
        
        Diaphoretic
        
        Low BP
        
        May be Brady or tachy
      - Investigation
        
        ECG + cardiac enzymes
        
        CXR
        
        Echo
        
        Coronary angiography
  - - - Nausea and vomiting
    - - Unpleasing sight
      - Smell
      - Noxious stimuli
      - Coughing
      - Swalloing
      - Defecation
      - Micturition
      - Valsalva manoeuvre
      - Post-prandial
      - Head rotation
      - Pressure on carotid sinus
      - Prolonged standing
    - - Hypotension
      - Bradycardia
      - May be carotid bruit
- - - - Assess active standing BP for 1 minute after lying = orthostatic hypotension or postural orthostatic tachycardia syndrome
  - - - Sweating or feeling warm/hot —> may suggest vasovagal
      - Deja vius —> epilepsy
    - - Eyes open or closed
      - Pallor
    - - Unexplained breathlessness
      - Palpitations
      - Chest discomfort
      - Abdominal pain
      - Headache
      - Lightheadedness
      - Dizziness
      - Fatigue
      - Visual disturbances
      - Constipation
      - Urinary symptoms
  - - - FBC for anemia