Which of the following features helps in distinguishing seizures from syncope?
Correct Answer: Physical weakness with clear sensorium
Description: Ans. d. Physical weakness with clear sensorium (Ref: Harrison 19/e p2551, 18/e p3260-3261)Urinary incontinence is rare in syncope as compared to seizures.FeaturesSeizureSyncopeImmediate precipitating factorsUsually noneEmotional stress, Valsalva, orthostatic hypotension, cardiac etiologiesPremonitory symptomsNone or aura (e.g. odd odor)Tiredness, nausea, diaphoresis, tunneling of visionPosture at onsetVariableUsually erectTransition to unconsciousnessOften immediateGradual over secondsDuration of unconsciousnessMinutesSecondsDuration of tonic or clonic movements30-60 sNever more than 15 sFacial appearance during eventCyanosis, frothing at mouthPallorDisorientation and sleepiness after eventMany minutes to hours<5 minAching of muscles after eventOftenSometimesBiting of tongueSometimesRarelyIncontinenceSometimesSometimesHeadacheSometimesRarely
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now