Chapter 26, Module 5; Palpitations Flashcards Preview

Physical Assessment > Chapter 26, Module 5; Palpitations > Flashcards

Flashcards in Chapter 26, Module 5; Palpitations Deck (24)
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1
Q

CAD, lightheadedness, syncope, chest pain, dyspnea

A

Cardiac arrhythmias

2
Q

Pulse deficit, irregular heartbeat, cannon A waves on JVP

A

Cardiac arrhythmias

3
Q

Diagnostic studies of Cardiac arrhythmias?

A

ECG, continuous event or loop monitoring, CAD evaluation (stress test)

4
Q

May have positional palpitations

A

Structural causes

5
Q

Murmur may be present

A

Structural causes

6
Q

Diagnostic studies of Structural causes?

A

ECG, continuous event or loop monitoring; echocardiogram

7
Q

Panic attacks, terror

A

Panic disorder

8
Q

Physical findings for Panic disorder?

A

none

9
Q

Diagnostic studies of Panic disorder?

A

ECG, continuous event or loop monitoring

10
Q

Persistent worries, fears, and negative thoughts

A

Stress/anxiety

11
Q

Physical findings of Stress/anxiety?

A

none

12
Q

Diagnostic studies of Stress/anxiety?

A

ECG, continuous event or loop monitoring

13
Q

History of Anemia is associated with?

A

fatigue

14
Q

Pallor; pale mucous membranes

A

Anemia

15
Q

Diagnostic studies of Anemia?

A

ECG, continuous event or loop monitoring; Hct/Hgb

16
Q

Nervousness, emotional lability, fatigue, muscle weakness, weight loss with good appetite, hyperdefecation, heat intolerance, menstrual changes (oligomenorrhea), increased appetite, insomnia, and tremors

A

Hyperthyroidism

17
Q

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

A

Hyperthyroidism

18
Q

Diagnostic studies of Hyperthyroidism?

A

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

19
Q

Severe pounding and paroxysmal headaches, sweating, nausea, visual problems, flushing, weight loss, diarrhea, nervousness, abdominal or chest pain, panic attacks

A

Pheochromocytoma

20
Q

Sweating, tremors hypertension, postural hypotension, heart may be enlarged

A

Pheochromocytoma

21
Q

Diagnostic studies of Pheochromocytoma?

A

ECG, continuous event or loop monitoring; 24-hr urine; catecholamines and metanephrines; plasma metanephrines; abdominal image

22
Q

Use of alcohol, caffeine, tobacco, digitalis, phenothiazine, theophylline, (3-agonists, and recreational drugs such as cocaine and amphetamines

A

Drugs and Stimulants

23
Q

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

A

Drugs and Stimulants

24
Q

Diagnostic studies of Drugs and Stimulants?

A

ECG, continuous event or loop monitoring; toxicology screen