Chapter 26, Module 5; Palpitations Flashcards
CAD, lightheadedness, syncope, chest pain, dyspnea
Cardiac arrhythmias
Pulse deficit, irregular heartbeat, cannon A waves on JVP
Cardiac arrhythmias
Diagnostic studies of Cardiac arrhythmias?
ECG, continuous event or loop monitoring, CAD evaluation (stress test)
May have positional palpitations
Structural causes
Murmur may be present
Structural causes
Diagnostic studies of Structural causes?
ECG, continuous event or loop monitoring; echocardiogram
Panic attacks, terror
Panic disorder
Physical findings for Panic disorder?
none
Diagnostic studies of Panic disorder?
ECG, continuous event or loop monitoring
Persistent worries, fears, and negative thoughts
Stress/anxiety
Physical findings of Stress/anxiety?
none
Diagnostic studies of Stress/anxiety?
ECG, continuous event or loop monitoring
History of Anemia is associated with?
fatigue
Pallor; pale mucous membranes
Anemia
Diagnostic studies of Anemia?
ECG, continuous event or loop monitoring; Hct/Hgb
Nervousness, emotional lability, fatigue, muscle weakness, weight loss with good appetite, hyperdefecation, heat intolerance, menstrual changes (oligomenorrhea), increased appetite, insomnia, and tremors
Hyperthyroidism
Exophthalmos, warm skin, onycholysis, increased sweating and thinning hair, localized myxedema of legs (pretibial) or dorsa of feet; enlarged thyroid, bruit may be present; brisk DTRs
Hyperthyroidism
Diagnostic studies of Hyperthyroidism?
ECG, continuous event or loop monitoring; TSH, Free T4 ECG, continuous event or loop monitoring; 24-hr urine; catecholamines and metanephrines; plasma metanephrines; abdominal imaging
Severe pounding and paroxysmal headaches, sweating, nausea, visual problems, flushing, weight loss, diarrhea, nervousness, abdominal or chest pain, panic attacks
Pheochromocytoma
Sweating, tremors hypertension, postural hypotension, heart may be enlarged
Pheochromocytoma
Diagnostic studies of Pheochromocytoma?
ECG, continuous event or loop monitoring; 24-hr urine; catecholamines and metanephrines; plasma metanephrines; abdominal image
Use of alcohol, caffeine, tobacco, digitalis, phenothiazine, theophylline, (3-agonists, and recreational drugs such as cocaine and amphetamines
Drugs and Stimulants
Nasal substance users may have chronic rhinorrhea, frequent nosebleeds, and lesions in the nose or around the nostrils; pupils may be dilated secondary to substance use; dry lips, halitosis; odor of alcohol, or tobacco
Drugs and Stimulants
Diagnostic studies of Drugs and Stimulants?
ECG, continuous event or loop monitoring; toxicology screen
