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Are there convulsive movements or incontinence? The presence of convulsive movements should suggest convulsions, and the differential diagnosis of this is discussed on
page 88
.
Convulsive ... DIAGNOSTIC WORKUP
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Syncope is often referred to by patients as “fainting” and is defined as a loss of postural tone and consciousness. Syncope usually lasts for brief periods of a few minutes. Longer periods are of more concern, because of the possibility of major cardiac or neurologic problems... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Dizziness/lightheadedness, a sensation of nearly losing consciousness, must be distinguished from vertigo, a sense of impulsion (spinning), either of the environment or of the patient. Dizziness/lightheadedness usually results from a decrease in cerebral blood flow, resulting in... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Syncope is temporary loss of consciousness and muscle tone due to decreased cerebral blood flow. It is otherwise known as fainting or blackout. Syncope is a common pediatric problem that, in contrast to that in adults, usually has a benign etiology. However, it can be a sign of a serious... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Vertigo is an illusion of movement (usually rotatory) due to an acute imbalance of tonic vestibular activity. Symptoms of vertigo are nonspecific and occur when there is a disturbance anywhere in the peripheral or central vestibular system. Determining the site of the lesion is... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential of syncope or a brief loss of consciousness is best developed with the use of physiology and, to a lesser extent, anatomy. Like convulsions (see page 128), syncope is due to a diminished supply of oxygen and glucose in the brain cell.
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... A common neurologic sign, syncope (or fainting) refers to a transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An episode of syncope usually starts as a feeling of light... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.
A... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Neurologic or Mechanical Causes, or Both
Mediated by vagal stimulation or autonomic insufficiency, or both
Vasovagal reaction (often associated with strong emotion or pain)
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... Dizziness
Hyperventilation
Anxiety, psychosomatic causes
Hypoxia
Anemia
Visual disturbances
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... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An episode of syncope... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... James C. Chesnutt
Syncope is a common and concerning medical problem, which accounts for 3% of emergency room visits and up to 6% of hospital admissions. Although the cause of syncope can be life-threatening (e.g., ventricular tachycardia) and the result can be... Approach. ... History ... Physical examination ... Testing. ... Diagnostic assessment. ... Pictures
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... Frank S. Celestino
Dizziness accounts for 1% to 2% of all office visits, 7% of visits by patients aged more than 80 years and 20% to 25% of all non–pain-related emergency room visits (1–3). Dizziness and vertigo are... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment
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... Differential Overview
Orthostatic/Autonomic
❑ Neurally mediated hypotension
❑ Volume depletion
❑ Cough syncope
... Diagnostic Approach ... Clinical Findings
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... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An episode of syncope... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... A common neurologic sign, syncope (or fainting) refers to transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An episode of syncope usually starts... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Vertigo is an illusion of movement in which the patient feels that he’s revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling as if he’s being pulled sideways, as though drawn by a... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Vertigois a disturbance of spatial orientation in which individuals havethe sensation that they or their surroundings are moving. Abnormalvestibular function, either in the peripheral or central nervoussystem, produces vertigo. Peripheral vestibular system... Principal Causes of Vertigo ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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...Syncope is a transient loss of consciousnessand postural tone usually produced by impaired cerebral blood flow.Generally, a syncopal episode in childhood is a benign isolatedevent; however, some causes can be life threatening. Because dizzinessoften precedes syncope, it is... Principal Causes of Syncope and Dizziness ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... A common neurologic sign, syncope (or fainting) refers to a transient loss of consciousness associated with impaired cerebral blood supply or cerebral hypoxia. It usually occurs abruptly and lasts for seconds to minutes. An episode of syncope usually starts... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
... Vertigo is an illusion of movement in which the patient feels that he's revolving in space (subjective vertigo) or that his surroundings are revolving around him (objective vertigo). He may complain of feeling pulled sideways, as though drawn by a magnet.
A common... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
The differential of syncope or a brief loss of consciousness is best
developed with the use of physiology and, to a lesser extent,
anatomy. Like convulsions , syncope is due to a diminished supply of oxygen and glucose
in the brain cell. Anything that... Pictures
... READ EXCERPTS »
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