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The Clinical Problem Solvers

Episode 98: Spaced Learning Series – Syncope and Splenomegaly

The Clinical Problem Solvers

The Clinical Problem Solvers

Science & Medicine, Medicine, Education, Higher Education

4.7528 Ratings

🗓️ 9 June 2020

⏱️ 22 minutes

🧾️ Download transcript

Summary

Transcript

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0:00.0

Hey folks, just a quick reminder that this episode is not meant to be used for medical advice, just good old-fashioned education.

0:08.6

All patient information has been modified to protect their identity, and the views expressed in our podcast do not necessarily reflect the opinion of our employers.

0:17.8

Welcome back clinical problem solvers. I'm Steph Lay, and I'm so excited for the fourth episode of our space learning series. I'm here with my awesome friends, Charmine, Arcelain, and Dan.

0:30.4

As a reminder in this episode, we will review content that has been previously covered, but we will approach them from a different angle,

0:38.5

highlighting other disease processes, and of course, try to share as many pearls as possible.

0:44.0

Our goal is to reinforce this often complicated topic so that you're ready to activate your

0:49.4

schemas the next time you come across a particular problem on the words or in clinic.

0:54.4

We've got a great case to discuss today. It starts off with one of my favorite chief concerns,

0:59.0

syncope. As the one with the most experience with syncope, I can start us off by reviewing our

1:05.1

approach to synchopy. And by experience, I mean, I have so many great basal bagel stories featuring yours truly.

1:12.9

But I don't, Chris.

1:14.8

What is syncope?

1:16.5

In simple terms, the brain doesn't get enough oxygen and the patient faints.

1:21.5

So when I faint and go from vertical to horizontal position, that allows my brain to get more blood and oxygen, leading

1:29.0

to me having spontaneous recovery.

1:32.4

So in summary, syncope is transient global hyperperfusion leading to loss of consciousness

1:38.8

and spontaneous recovery.

1:41.3

When I hear syncope, I immediately think history, history, and what?

1:46.0

You got it, history.

1:48.0

Because how a patient feels moments before they pass out can help prioritize different ideologies

1:54.0

of syncope.

1:55.0

More on this in a bit.

...

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