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Cardiology
- Chest pain
- Heart failure Hx
- Leg swelling Plan
- Pericarditis risk factors
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Syncope

Patient complains of a brief ‍loss of consciousness ‍  ‍days ago, which occured ‍contexte﻿
﻿‍Event was not witnessed 
Reports ‍ø prodromal symptoms 
Recovery was spontaneous 
﻿‍ø postictal symptoms, ø convulsions 
﻿‍Amnesia of the event 
Associated symptoms: ‍ø chest pain, ø palpitations, ø dyspnea 
﻿‍prior episodes 
﻿‍cardiac disease risk factors 
﻿‍medications increasing QT 
﻿‍family history of cardiac disease or sudden cardiac death 
﻿
﻿
Syncope
﻿
﻿‍Blood work: CBC, BMP, BGL, Calcium, Mg, Albumin, TSH, LFTs ‍B-hCG ‍Ddimers 
﻿‍Orthostatic BP 
﻿‍ECG ‍Holter 
﻿‍Echocardiogram 
﻿‍Brain CT  ‍Brain MRI  
﻿‍Cardiologist referral ‍Internal medicine referral ‍Neurologist referral 
﻿‍Medication revised 
﻿‍Avoid dehydration and fasting 
﻿‍No driving for 1 week if unexplained syncope (1 year if recurrent) 
﻿
San Francisco Syncope Rule: low risk if none of these: CHF, Ht<30, ECG Abn, SOB, BP<90 

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