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Internal Medicine


Answer 5
  1. Discharge patient after alcohol cessation counseling, and instruct her to be careful when moving from a supine to standing position. The treatment of syncope is very specific to the underlying cause. In this patient with vasovagal syncope, the physician should be supportive and focus on alcohol cessation, keeping well hydrated, and taking caution when moving from a supine/sitting position to a standing position. Also, if there are any presyncopal symptoms, patients should be instructed to assume a supine position immediately. In general, these actions will help to treat most patients diagnosed with vasovagal syncope.

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