09 palpitations

Question 1

4Ps of pain that decrease likelihood of ACS

Answer 1

pleuritic
pulsating
positional
reproduced by palpation

also stabbing pain

Question 2

ACS in women

Answer 2

prodromal -

fatigue, dyspnea, neck and jaw pain, palpitations, cough, N/V, indigestion, back pain, dizziness, numbness

Question 3

pqrst mnemonic chest discomfort

Answer 3

provacation/palliation (cold, stress, exercise, meals)
quaity
region/radiation
associated sxs (sweating, sob, nausea)

Question 4

murmurs associated with palpitations

Answer 4

mvp - midsystolic click with holosystolic murmur
systolic murmur from hypertrophic obstructive cardiomyopathy and afib
aortic stenosis = crescendo-decresendo systolic