Created at 3:59 a.m. Apr, 29, 2025
Author: hoodini23
Related Note: 1551651978957 2
Rationale for change

This card is confusing to the user, I do not understand the underlying concepts being tested here. These are the 3 concepts I came up with, but again, the symptoms listed on the card are inconsistent with either a seizure or vasovagal syncope.

Arrhythmia-induced syncope:
cannot simply call this "cardiac" cause, because a valvular cause would have a prodrome of symptoms (exertional dyspnea, etc)
- caused by acute-onset bradyarrhythmias or tachyarrhythmias that lead to transient cerebral hypoperfusion
- risk factors for arrhythmias = 1) ischemic heart disease, 2) structural heart disease, or 3) previous arrhythmias

Neurogenic etiology - meaning seizure, yes this would present suddenly, may have a prodrome (aura - motor, visual, smell, etc), focal neurologic deficits could be expected (esp. focal impaired/unimparied awareness seizure), will have a post-ictal state

Neurogenic syncope = vasovagal syncope
- due to a reflex that causes vasodilation, bradycardia, or both
- often triggered by emotional stress, pain, or prolonged standing
- prodromal symptoms such as diaphoresis, warmth, nausea, and pallor, followed by hypotension and bradycardia (can be absent, uncommon)
- transient focal neurological symptoms can occasionally be seen during neurogenic syncope, they are not common

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#AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#SketchyIM::02_ECG_Interpretation_&_Arrhythmias::04_Tachycardia::01_Sinus_Tachycardia #AK_Step2_v12::#Subjects::Cardiology::07_Syncope::Arrhythmial_Syncope #AK_Step2_v12::#SketchyFM::01_Acute_Presentations::02_Cardiac_Symptoms::03_Approach_To_Syncope #AK_Step2_v12::!Shelf::FM::no_dupes::only_step2 #AK_Step2_v12::#SketchyIM::01_Cardiology::10_Syncope::01_Syncope_DDx #AK_Step2_v12::#SketchyIM::02_ECG_Interpretation_&_Arrhythmias::03_Bradycardia::03_Bradycardia_Workup_&_Management #AK_Step2_v12::Original_decks::Dorian::fam::ome::cardio::syncope #AK_Step2_v12::#Subjects::Cardiology::07_Syncope::Neurogenic_Syncope #AK_Step2_v12::#B&B::10_Neuro::05_OtherTopics::10_Syncope #AK_Step2_v12::#UWorld::COMLEX::100674 #AK_Step2_v12::#FirstAid::01_Cardiovascular::15_Syncope::01_Syncope #AK_Step2_v12::#CMS::IM::Form_04 #AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 #AK_Step2_v12::#Resources_by_rotation::IM::ome::cardio::syncope #AK_Step2_v12::#OME::01_Medicine::01_Cardiology::07_Syncope #AK_Step2_v12::#UWorld::#UWSA1 #AK_Step2_v12::#SketchyNeurology::01_Epilepsy::01_Seizure_Evaluation_&_Management::02_Seizure_vs_Syncope #AK_Other::Only_Step_2 #AK_Step2_v12::#SketchyIM::02_ECG_Interpretation_&_Arrhythmias::05_Retired_Lessons::03_Bradycardia::02_Bradycardia_DDx_and_SOAP #AK_Step2_v12::#NinjaNerd::06_Cardiovascular::03_Pathology::16_Syncope #AK_Step2_v12::#OME::Clinical::01_Medicine::01_Cardiology::07_Syncope #AK_Step2_v12::#UWorld::COMLEX::104963 #AK_Step2_v12::#UWorld::Step::6904 #AK_Step2_v12::#NinjaNerd::06_Cardiovascular::03_Pathology::03_Arrhythmias #AK_Step2_v12::#UWorld::Step::3881 #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::4fm #AK_Step2_v12::#Resources_by_rotation::FM::ome::cardio::syncope #AK_Step2_v12::#SketchyFM::01_Acute_Presentations::02_Cardiac_Symptoms::02_Approach_To_Palpitations_&_Arrhythmia #AK_Step2_v12::Original_decks::Dorian::im::ome::cardio::syncope #AK_Step2_v12::#UWorld::Step::21157