Glossary entry

French term or phrase:

malaise avec perte de connaissance

English translation:

feeling unwell with loss of consciousness

Added to glossary by liz askew
Sep 20, 2023 18:55
8 mos ago
53 viewers *
French term

malaise avec perte de connaissance

French to English Medical Medical (general) discharge letter
Hi everyone,
The patient was hospitalized because of uncontrolled diabetes that led to a car accident.
At the beginning of the text they just speak of malaise:
"Il a fait un malaise dans sa voiture en se garant" which I translated as "he felt faint while parking his car."
Then I have:
" (...) transféré dans le service de cardiologie pour malaise avec perte de connaissance."
Can I translate both of these by "syncope" or "syncopal episode"?
This is for the USA.
Thanks
Joanna
Change log

Sep 25, 2023 11:02: liz askew changed "Edited KOG entry" from "<a href="/profile/583720">joanna menda's</a> old entry - "malaise avec perte de connaissance"" to ""feeling unwell with loss of consciousness""

Oct 14, 2023 14:13: liz askew changed "Edited KOG entry" from "<a href="/profile/589274">liz askew's</a> old entry - "malaise avec perte de connaissance"" to ""feeling unwell with loss of consciousness""

Discussion

Conor McAuley Sep 22, 2023:
For info There are quite a few dictionary translations for "malaise".

https://www.wordreference.com/fren/malaise

Français Anglais
malaise nm (trouble d'ordre physiologique) dizzy spell n
(dated) malaise n
feeling of faintness, attack of faintness n
À la fin du repas, il fut pris d'un léger malaise.
At the end of the meal he had a slight dizzy spell.
malaise nm (évanouissement) loss of consciousness n
fainting fit n
dizzy spell n
joanna menda (asker) Sep 21, 2023:
Thanks Anton for explaining this distinction.
Anton Konashenok Sep 20, 2023:
Not syncope Syncope is a somewhat narrower concept than loss of consciousness, and it's especially important to distinguish the two in case of diabetes. Syncope is generally transient and of circulatory origin, whereas a diabetic patient could well lapse into diabetic coma. I would recommend a literal translation, malaise with loss of consciousness.

Proposed translations

+8
2 hrs
Selected

feeling unwell with loss of consciousness

https://www2.proz.com/kudoz/french-to-english/general-conver...

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Note added at 2 часа (2023-09-20 21:40:14 GMT)
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https://www.passeportsante.net/fr/Maux/Problemes/Fiche.aspx?...

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Note added at 2 часа (2023-09-20 21:40:40 GMT)
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Un malaise est un terme large qui peut être défini comme la sensation d’un dysfonctionnement de l’organisme. Une sensation de malaise peut conduire à une perte de tonus musculaire ou à une perte de connaissance.
Qu’est-ce qu’un malaise ?

Un malaise est défini comme un état d’inconfort prononcé, une sensation de dysfonctionnement de l’organisme ou une sensation de mal-être importante. Il se traduit par des troubles de la vigilance et de la conscience, pouvant conduire :

soit à une perte de tonus musculaire, nommée hypotonie ;
soit à une perte de connaissance transitoire.

Un malaise apparaît généralement de façon brutale. Si son développement est progressif, le malaise évolue très rapidement, en quelques minutes. Un malaise est limité dans le temps. Son intensité est variable et dépend avant tout de son origine.

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Note added at 21 часа (2023-09-21 16:14:02 GMT)
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see also:
https://www2.proz.com/kudoz/french-to-english/medical-genera...

Ne pas confondre vertige et malaise

Les malaises, qui ne sont pas liés à un trouble de l’équilibre, ne doivent pas être confondus avec des vertiges. Les symptômes sont différents :

faiblesse momentanée avec sensation de « tête vide », de flottement, due par exemple à une hypoglycémie ou à une crise d’angoisse isolée ou incluse dans un trouble panique avec ou sans agoraphobie ;
faux vertige des hauteurs dû à la

du vide ;
perte de connaissance partielle (lipothymie) ou totale qui peut être due à une baisse de tension artérielle, un
, un problème cardiaque ou un accident vasculaire cérébral ;
sensation de déséquilibre, de flottement lors d'une crise de migraine.

Peer comment(s):

agree writeaway
8 mins
Thank you!
agree Michele Fauble
40 mins
Thank you!
agree Lirka
1 hr
Thank you!
agree Yvonne Gallagher
3 hrs
Thank you!
agree DB-9
14 hrs
Thank you!
agree Kim Metzger
15 hrs
Danke!
agree Rachel Fell
17 hrs
Thank you!
neutral ph-b (X) : Wouldn't that be ne pas se sentir bien?/Can't see anything conclusive. As a diabetic myself, I know the difference between feeling unwell (could be just getting a cold) and feeling dizzy and causing a car accident.
17 hrs
I think you need to take a good look at my references.
agree Anastasia Kalantzi
4 days
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4 KudoZ points awarded for this answer. Comment: "Thanks!"
15 mins

discomfort with loss of consciousnes

Une autre formulation
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-1
20 mins

collapse with loss of consciousness

Hi Joanna,
A diabetic 'malaise' is more than feeling faint. Since there was loss of consciousness, the word 'collapse' is appropriate.
A 'syncopal episode' is unusually linked to hypotension, lack of blood flow to the brain, associated with 'fainting' in the more traditional sense. A diabetic episode is caused by low blood sugar.
Best wishes,

Victoria

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Note added at 21 minutes (2023-09-20 19:16:44 GMT)
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'Usually linked' not 'unusually linked' sorry.
Peer comment(s):

disagree Anton Konashenok : Collapse is not the right term to use, it's generally transient like syncope, and "diabetic collapse" is a totally different syndrome altogether (nothing to do with consciousness). BTW, loss of consciousness in diabetes may be due to high blood sugar, too
13 mins
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+3
50 mins

faintness/dizziness/malaise with loss of consciousness

Any of these would work, but I think 'syncope' would be overtranslation.

http://www.wordreference.com/fren/malaise
Peer comment(s):

agree Bourth : Dizziness does it for me.
1 hr
agree abe(L)solano : https://www.diabetes.co.uk/symptoms/dizziness.html#:~:text=H...
12 hrs
neutral writeaway : The Fr text doesn't specify the type of malaise so neither should the English translation. Imo
14 hrs
One of my suggestions was malaise. You can't get closer to the French than that.
agree ph-b (X) : malaise: (feel/come over) quaint/dizzy (R&C, etc.)
19 hrs
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1 hr

cardiac discomfort with loss of consciousness

The first-quoted malaise could refer to a mild heart attack, whereas cardiac discomfort with loss of consciousness might be an appropriate equivalent for the next instance quoted.
Peer comment(s):

neutral abe(L)solano : cardiac (??) they clearly state is a diabetes patient
11 hrs
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3 hrs
French term (edited): pour malaise avec perte de connaissance

for queasiness accompanied (by a bout of) unconsciousness

Pending Anton K's posting of his masterful exposition, I suggest this primitive, solitary - as opposed to a scattergun e.g. nausea, malaise, discomfort etc - translation. ('I'm surprised no one else has hit on queasiness').

Worried about the preposition of 'malaise with loss of consciousness' as the timing is unclear - preceding, contemporaneous or - from my own London Marathon experience - followed by such blank-out, I have deployed the idea of 'accompanied by a bout' to dodge the sequence of events.

Low CL / confidence level again to highlight the other, more confident answers.


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Note added at 3 hrs (2023-09-20 22:31:15 GMT)
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First instance > Il a fait un malaise : he came over queasy.....
Example sentence:

syncope diagnosis: For example, symptoms such as *dizziness*, sweating, *nausea*, diarrhea, vomiting, headache, visual changes, abnormal body movements, loss of control of bowel or bladder, and chest pain are important clues.

accustomed to such heights, can produce a sensation of *queasiness* and general weakness [...] perulanguage.com [...] habituées à de telles altitudes, peut produire une sensation de *malaise* et de faiblesse générale,

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14 hrs

confusion/cognitive troubles with clouded consciousness (until black-out).

Le diabète se caractérise par :
• une émission d'urine excessive (polyurie) …
• un appétit anormalement augmenté (polyphagie) …
• parfois une acidocétose diabétique avec dyspnée de Kussmaul.
D'autres symptômes peuvent apparaître, tels qu'une perte de poids, une fatigue et des troubles de la vision, ou encore une irritabilité.
:
Non traditionnellement associées à la maladie diabétique, ces nouvelles complications concernent notamment le foie (stéatose métabolique non alcoolique), le cerveau (dépression et trouble anxieux, risque de démence et troubles cognitifs) ainsi que d’autres ...
https://fr.wikipedia.org/wiki/Diabète_sucré#Diabète_de_type_...

Diabetic ketoacidosis … Excessive production of ketone bodies leads to signs and symptoms including nausea, vomiting, abdominal pain, the smell of acetone in the breath, deep breathing known as Kussmaul breathing, and in severe cases decreased level of consciousness.
Hypoglycaemia … An acute presentation can include mild symptoms such as sweating, trembling, and palpitations, to more serious effects including impaired cognition, confusion, seizures, coma, and rarely death.
https://en.wikipedia.org/wiki/Diabetes

Diabetic coma is a life-threatening but reversible form of coma found in people with diabetes mellitus.[2]
Three different types of diabetic coma are identified:[3]
1. Severe low blood sugar in a diabetic person
2. Diabetic ketoacidosis (usually type 1) advanced enough to result in unconsciousness from a combination of a severely increased blood sugar level, dehydration and shock, and exhaustion
3. Hyperosmolar nonketotic coma (usually type 2) in which an extremely high blood sugar level and dehydration alone are sufficient to cause unconsciousness.
In most medical contexts, the term diabetic coma refers to the diagnostical dilemma posed when a physician is confronted with an unconscious patient about whom nothing is known except that they have diabetes.
Types:
Severe hypoglycemia … Unconsciousness due to hypoglycemia can occur within 20 minutes to an hour after early symptoms and is not usually preceded by other illness or symptoms. …
Advanced diabetic ketoacidosis … If it progresses and worsens without treatment it can eventually cause unconsciousness, from a combination of a very high blood sugar level, dehydration and shock, and exhaustion. Coma only occurs at an advanced stage, usually after 36 hours or more of worsening vomiting and hyperventilation. …
Nonketotic hyperosmolar coma Nonketotic hyperosmolar coma usually develops more insidiously than diabetic ketoacidosis because the principal symptom is lethargy progressing to obtundation, rather than vomiting and an obvious illness. Extremely high blood sugar levels are accompanied by dehydration due to inadequate fluid intake. Coma occurs most often in patients who have type 2 or steroid diabetes and have an impaired ability to recognize thirst and drink.
https://en.wikipedia.org/wiki/Diabetic_coma

The most common cause of hypoglycemia is medications used to treat diabetes such as insulin, sulfonylureas, and biguanides.
:
Symptoms Headache, blurred vision, shakiness, dizziness, weakness, tiredness, sweating, clamminess, fast heart rate, pounding heartbeat, nervousness or anxiety, hunger, nausea, pins and needles sensation, difficulty talking, confusion, loss of consciousness, unusual behavior, lightheadedness, pale skin color, seizures, death.
https://en.wikipedia.org/wiki/Hypoglycemia

Given the symptomatology described above, we can phrase both symptoms depending on the severity:
1) confusion or cognitive troubles
2) clouded consciousness (until black-out).
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