Syncope

Cannot miss / life threats
Cannot miss / life threats
Differential diagnosis — checklist
0/12

Check off each diagnosis as you consider it. Tap the name for unique exam, lab/imaging clues, first-line confirmatory test, and management.

Reflex0/3
Orthostatic0/3
Cardiac0/3
Mimics0/3
Initial ED workup
Bedside0/5
  • 12-lead ECG
  • Orthostatic vitals
  • Glucose
  • Cardiac monitor
  • Pregnancy test
Labs0/4
  • CBC, BMP
  • Troponin if cardiac concern
  • BNP
  • Hgb if GI bleed suspected
Imaging0/3
  • CXR
  • Echo if structural disease
  • CT/CTA only if focused suspicion (PE, SAH, dissection)
Initial management0/3
  • IV fluids if hypovolemic / orthostatic
  • Risk-stratify (San Francisco / Canadian Syncope Rule)
  • Admit/observe if high-risk features
Pearls / pitfalls
Pearls
  • Exertional syncope, family hx of sudden death, abnormal ECG → admit