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Blackouts Part 1 (Teacher: Michael)
Many patients will complain of having had
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'blackout' but this is
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vague and certainly overused word. It usually means
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loss of consciousness for
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few minutes but is often used incorrectly. Patients will sometimes almost boast of having had one of these attacks. It has
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alarming sound and to say you have had
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blackout means that friends and relatives will be suitably impressed. But if you enquire carefully, you can nearly always separate
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really genuine loss of consciousness from
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supposed one.
In
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fake faint,
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patient's description is very vague. They say they felt dizzy and fuzzy and thought they were going to 'pass out'. They might also say they felt
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tightness in
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chest and broke out in
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profuse sweat.
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alleged blackout may often have gone on for up to
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hour. During
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genuine faint there is
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actual loss of consciousness because
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brain is temporarily deprived of blood.
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attack is usually very short and is often caused by some emotional upset, albeit
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temporary one, or by fear.
Waiting to see
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dentist or taking one's turn in
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blood transfusion clinic are typical causes, and they are not uncommon when
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patient is having varicose veins treated. Very occasionally,
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sudden loss of blood internally - such as from
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bleeding stomach ulcer - may cause loss of consciousness and diabetes can cause alarming looking fainting attacks.
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