Fall or Syncopal Episode
Onset prior to evaluation
Onset while:

Episode location:
Episode description: .

Last similar episode:

<-- remembers the episode
<-- remembers after the episode

Episode was preceded by the following symptoms that lasted :
<-- lightheadedness
<-- palpitations
<-- chest pain
<-- nausea or vomiting
<-- headache
<-- abodominal pain
<-- visual changes

Episode was witnessed by and they reported:
<-- complete loss of consciousness for a duration of
<-- Seizure activity
<-- Confusion following the episode
<-- associated incontinence of urine or stool
<-- associated apnea
<-- associated pulselessness
<-- associated low blood sugar
<-- extremity weakness

PMH:
<-- Recent trauma
<-- Seizure history
<-- Diabetes Mellitus history
<-- Coronary Artery Disease history
<-- Cerebrovascular Accident history
<-- Gastrointestinal bleeding history
<-- Infection history or symptoms (e.g. UTI or pneumonia)
<-- Other (e.g. pregnancy in women of child bearing age)

Associated Injuries:
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Result - Copy and paste this output: