Syncope

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Syncope

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Syncope
-Using San Francisco Syncope Rule to predict serious outcomes, patient is high risk.
-Will admit to exclude dangerous causes of syncope. 
-DDx includes: cardiac cause vs neuro vs vasogenic vs psychiatric.
-Overnight telemetry, serial cardiac enzymes,  TTEcho, CXR, D-dimer/CT-PE if hypoxic, troponins, ETOH level, and urine drug screen. 
-Pacer interrogation per cardiology.
-Rhythm monitor on discharge.
-Orthostatic BP obtained and medications reviewed.
-Will obtain head CT,  EEG, MRI/MRA if results still negative.
-Will consider psychogenic cause 
-Upon discharge, will educate patient not to drive or operate heavy machinery at least until the completion of their workup or follow-up with their primary care provider.