PALPITATIONS Flashcards
1
Q
palpitations key hx: timing
A
gradual vs acute onset/offset
context (exertion, caffeine, energy drinks or supplements, anxiety)
duration
2
Q
palpitations key hx: assoc sxs
A
lightheadedness LOC CP dyspnea fever sweating pale skin flushing diarrhea hyperthyroid sxs
3
Q
palpitations key hx: medhx
A
hx of bleeding or anemia
hx of heart dz
HTN
diabetes
4
Q
palpitations key PE
A
VS
endocrine/thyroid exam (exophthalmos, lid retraction, lid lag, gland size, bruit, and tremor)
complete CV exam (JVP, PMI, heart sounds, lower extremities, distal pulses)
5
Q
hypoglycemia ddx
A
cardiac arrhythmia angina hyperthyroidism hyperventilation episodes panic attack pheochromocytoma carcinoid syndrome
6
Q
hypoglycemia w/u
A
glucose CBC elytes TSH ECG 24-hr urine catecholamines 5-HIAA
7
Q
panic attack ddx
A
GAD specific phobia acute stress d/o hyperthyroidism substance abuse/dependence pheo
8
Q
panic attack w/u
A
CBC elytes TSH, FT4 ECG echocardiography urine tox 24-hour urinary catecholamines
9
Q
specific phobia ddx
A
avoidant personality d/o agoraphobia/specific phobia panic attack GAD substance abuse/dependence hyperthyroidism
10
Q
specific phobia w/u
A
CBC
elytes
ECG
TSH, FT4
11
Q
MVP ddx
A
cardiac arrhythmia
panic attack
pheochromocytoma
12
Q
MVP w/u
A
ECG TEE event monitor holter monitor 24-hour urinary catecholamines
