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22 yo F is evaluated in ED after an episode of syncope. She experienced a prodrome of nausea, diaphoresis, and warmth while waiting in line to attend a concert in a crowded, warm corridor.Most appropriate management?

User MauMen
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1 Answer

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Final answer:

The most appropriate management for a 22-year-old female who experienced an episode of syncope after a prodrome of symptoms is to evaluate her for a potential vasovagal response. Management for vasovagal syncope involves reassurance, education, and lifestyle modifications. If the symptoms are not consistent with a vasovagal response or there are any concerning features, further evaluation may be warranted.

Step-by-step explanation:

The most appropriate management for a 22-year-old female who experienced an episode of syncope (fainting) after a prodrome of nausea, diaphoresis (excessive sweating), and warmth is to evaluate her for a potential vasovagal response. The symptoms she experienced, such as feeling warm and crowded, are common triggers for vasovagal syncope. Vasovagal syncope is a type of fainting that occurs due to a sudden decrease in blood pressure and heart rate.

Management for vasovagal syncope involves reassurance, education, and lifestyle modifications. The patient should be advised to avoid triggers, such as standing in crowded and warm spaces for prolonged periods. Hydration and adequate salt intake may also be recommended to prevent hypotension. In some cases, a tilt table test may be done to confirm the diagnosis and guide further management.

If the symptoms are not consistent with a vasovagal response or if there are any concerning features, further evaluation may be warranted to rule out other causes of syncope.

User Sarson
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