Syncope and Vertigo

1. Describe the associated historical and physical findings for each of the following etiologies of syncope.

A. Vasovagal.
B. Cardiac.
C. Seizure.
D. Orthostatic hypotension.
E. Cerebrovascular disease.
F. Hypoglycemia.
G. Menniere's.

2. Describe the immediate evaluation and long-term management of a patient presenting with recent syncope.

3. Compare the clinical features of vertigo due to a vestibular lesion with that due to a central nervous system lesion.

4. Explain why this distinction (#3) is important.

Sources:

Family Medicine:  Ambulatory Care and Prevention, Chapter 58, Page 359-364; Chapter 17, Pages 105-108

Essentials of Family Medicine, Chapter 43, Pages 663-680

"Evaluation of Syncope " Thomas H. Miller, M.D. Southern Illinois University School of Medicine, Quincy, Illinois, Jerry E. Kruse, M.D., M.S.P.H., Southern University School of Medicine, Springfield, Illinois, American Family Physician, October 15, 2005.

"Initial Evaluation of Vertigo" Labuguen, RH. University of Southern California, Los Angeles, CA American Family Physician, January 15, 2006.