15 Palpitations Flashcards
70yo diabetic M presents with episodes of palpitations and diaphoresis. He is on insulin.
HYPOGLYCEMIA cardiac arrhythmia angina hyperthyroidism hyperventilation episodes panic attack pheochromocytoma carcinoid syndrome
glucose cbc electrolytes TSH ECG holtermonitor 24-hour urinary catecholamines 5-HIAA
35yo M presents with several episodes of palpitations, sweating and rapid breathing. Episodes occur unexpectedly, and he does not recall any triggers. He has had 4-5 episodes per month for several months. Each episode lasts 2-3 minutes. He does not have any history of psychiatric illness except for separation anxiety as a child.
PANIC ATTACK generalized anxiety disorder acute stress disorder specific phobia hyperthyroidism agoraphobia substance abuse/dependence mitral valve prolapse pheochromocytoma
cbc electrolytes tsh, free T4 ECG echocardiography urine toxicology 24-hour urinary catecholamines
19yo F presents with episodic palpitations, especially during presentations in front of her class. Episodes include heart pounding, facial blushing, and hand tremor. She also experiences excessive sweating and rapid breathing. She complains of intense worry and trouble sleeping fro days or weeks before an upcoming social situation. Now she avoids all social events because she is afraid of humiliating herself.
SOCIAL PHOBIA avoidant personality disorder agoraphobia/specific phobia panic attack generalized anxiety disorder substance abuse/dependence hyperthyroidism
cbc electrolytes ECG echocardiography TSH, free T4 mental status exam
34yo F presents with episodic palpitations accompanied by lightheadedness and sharp, atypical chest pain
MITRAL VALVE PROLAPSE
cardiac arrhythmia
panic attack
pheochromocytoma
ECG
echocardiography
holter monitor
24-hour urinary catecholamines
