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Initial evaluation: Difference between revisions
→Physical examination: general physical examination
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*Auscultation of the heart: are indications for structural heart disease present or an arrhythmia present? | *Auscultation of the heart: are indications for structural heart disease present or an arrhythmia present? | ||
*Supine and standing blood pressure and pulse. After 5 minutes of supine rest the blood pressure and pulse must be measured at least twice. The patient then rises from supine to standing position. Within 3 minutes of standing the blood pressure and pulse must be measured again. One speaks of orthostatic hypotension if the systolic blood pressure drops with at least 20 mmHg, or the diastolic blood pressure drops with at least 10 mmHg within 3 minutes. If the blood pressure dropped it is wise to continue measuring while standing to see if it will drop further. One must also ask the patient if he/she experiences symptoms during standing. | *Supine and standing blood pressure and pulse. After 5 minutes of supine rest the blood pressure and pulse must be measured at least twice. The patient then rises from supine to standing position. Within 3 minutes of standing the blood pressure and pulse must be measured again. One speaks of orthostatic hypotension if the systolic blood pressure drops with at least 20 mmHg, or the diastolic blood pressure drops with at least 10 mmHg within 3 minutes. If the blood pressure dropped it is wise to continue measuring while standing to see if it will drop further. One must also ask the patient if he/she experiences symptoms during standing. | ||
*Neurological examination: in particular attention for the | *Neurological examination: in particular attention for the lateral tongue bite | ||
*Trauma (capitis) due to a fall during T-LOC | *Trauma (capitis) due to a fall during T-LOC | ||