DrVirgo
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G-Orthostatic Hypoten. Orthostatic hypotebnsion d/t blood loss, syncope when she stood up,murmur can be innocent sec to anemia.
J-Vasovagal Syncope
H –PE?
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| radonc
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Orthostatic hypo.
She is losing blood in her intestine, due to warfarin therapy and something else going on intestine (such as angiodysplasia or diverticular disease).
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| Justice
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J-Vasovagal Syncope... Reflectory tachicardia supports this diagnosis
For orthostatic hypo we need to see two measurements... In addition, PTs with ortho hypo rarely faint but more frequently complain onto lighheadness and a pressure sensation in the back of his neck...
Edited by Justice on 07/28/07 - 09:17 AM
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| robin082006
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radonc wrote:
Orthostatic hypo.
She is losing blood in her intestine, due to warfarin therapy and something else going on intestine (such as angiodysplasia or diverticular disease).
Agree,
G
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| dr in trouble
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you will find reflex tachycardia whenever there is hypotension, so it is not specific to vasovagal syncope
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| khorshid
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G
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| DrVirgo
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Can anyone explain the differences or give examples of Orthostatic vs Vasovagal?
Thanks.
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| mytime
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Orthostatic hypotension (also known as postural hypotension, orthostatic reflect, orthostatic intolerance and, colloquially, as head rush or a dizzy spell) is a sudden fall in blood pressure, typically greater than 20/10 mm Hg, that occurs when a person assumes a standing position, usually after a prolonged period of rest.
People with vasovagal syncope typically have recurrent episodes, usually when exposed to a specific trigger. The initial episode often occurs when the person is a teenager, then recurs in clusters throughout his or her life. Prior to losing consciousness, the individual frequently experiences a prodrome of symptoms such as lightheadedness, nausea, sweating, ringing in the ears, and visual disturbances. These last for at least a few seconds before consciousness is lost, which typically happens when the person is sitting up or standing. When they pass out, they fall down; and when in this position, effective blood flow to the brain is immediately restored, allowing the person to wake up.
The autonomic nervous system's physiologic state (see below) leading to loss of consciousness may persist for several minutes, so:
if the person tries to sit or stand when they wake up, they may pass out again; and
the person may be nauseated, pale, and sweaty for several minutes after they wake up.
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| mytime
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SO J. vasovagal.
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| DrVirgo
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Which one occurs due to straining during bowel movement? Orthostatic Hypoten. or Vasovagal?
Which one has hypoten/tachycardia? Both?
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| fudoc_20
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G: ORTHOSTATIC HYPOTENSION
well vasovagal attack occurs due to sever parasympathetic stimulation leading to (BRADYCARDI ,HYPOTENSION AND SWEATING),i think the pateint recover completely after the attack with return of heart rate towards normal gradually and no persistent hypotension
ORTHOSTATIC HYPOTENSION no bradycardia but there is sever sympathetic stimulation to compenstate pooling of blood in veins !! by increasing total periperal resistance and increase heart rate and venoconstriction and all of that would be impaired in this patient becuse she is old ( AUTONOMIC DYSFUNCTION).AND HYPOTENSIVE DUE TO BLOOD LOSS
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| abarusmle
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This tachycardia is not during her pass out time. She came about an hour later with hypotention; now she can very well have tachycardia;
I would still go for othrostatic hypotention due to hypovolumia secondary to blood loss, apparently for high INR (Warferrin therapy)
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| neuroblastoma
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fudoc_20 wrote:
G: ORTHOSTATIC HYPOTENSION
well vasovagal attack occurs due to sever parasympathetic stimulation leading to (BRADYCARDI ,HYPOTENSION AND SWEATING),i think the pateint recover completely after the attack with return of heart rate towards normal gradually and no persistent hypotension
ORTHOSTATIC HYPOTENSION no bradycardia but there is sever sympathetic stimulation to compenstate pooling of blood in veins !! by increasing total periperal resistance and increase heart rate and venoconstriction and all of that would be impaired in this patient becuse she is old ( AUTONOMIC DYSFUNCTION).AND HYPOTENSIVE DUE TO BLOOD LOSS
orthostatic hypotension is answer here--BP is low and reflex tachycardia
vasovagal syncope will have prodrome of lightheadedness, nausea, sweating, ringing in the ears, and visual disturbances
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| dr.wad
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G... ORTHOSTATIC HYPOTENSION
syptoms BEGAN WHEN SHE STOOPED UP 
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| dr.wad
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DrVirgo wrote:
Which one occurs due to straining during bowel movement? Orthostatic Hypoten. or Vasovagal?
Which one has hypoten/tachycardia? Both?
Dr Virgo ....note that the patient has watery diarrhea...
however .....constipation , coughing, valsalva cause vasovagal syncope.
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| Korotkoff
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This is orthostatic hypotension.
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