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Fall Or Syncopal Episode History
Nov 23, 2010
•
Mark Morgan
categories:
Neurology
Subjective/History
Fall or Syncopal Episode
Onset
prior to evaluation
Onset while:
Episode location:
Episode description:
.
Last similar episode:
no
YES
<-- remembers the episode
no
YES
<-- remembers after the episode
Episode was preceded by the following symptoms that lasted
:
no
YES
<-- lightheadedness
no
YES
<-- palpitations
no
YES
<-- chest pain
no
YES
<-- nausea or vomiting
no
YES
<-- headache
no
YES
<-- abodominal pain
no
YES
<-- visual changes
Episode was witnessed by
and they reported:
no
YES
<-- complete loss of consciousness for a duration of
no
YES
<-- Seizure activity
no
YES
<-- Confusion following the episode
no
YES
<-- associated incontinence of urine or stool
no
YES
<-- associated apnea
no
YES
<-- associated pulselessness
no
YES
<-- associated low blood sugar
no
YES
<-- extremity weakness
PMH:
no
YES
<-- Recent trauma
no
YES
<-- Seizure history
no
YES
<-- Diabetes Mellitus history
no
YES
<-- Coronary Artery Disease history
no
YES
<-- Cerebrovascular Accident history
no
YES
<-- Gastrointestinal bleeding history
no
YES
<-- Infection history or symptoms (e.g. UTI or pneumonia)
no
YES
<-- Other (e.g. pregnancy in women of child bearing age)
Associated Injuries:
display/hide references
reference: contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook
(link)
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