Cardio PCP presentations Flashcards
Define palpitation
Abnormal awareness of the heart beat
Palpitations:
Context
Anxiety
Exercise
Coffee (or other drugs)
Palpitations:
Quality
Regular vs irregular (can you tap it out?)
Forceful vs flutter
Palpitations:
Associated features
Dyspnea Chest pain Fatigue Dizziness LOC Thyroid things Anaemia things
“Thyroid things”
Heat intolerance Tremor Palpitations Weight loss Anxiety Menstrual irregulatiry
Palpitations:
PHx
Cardiac risk factors
“Anaemia things”
Pallor
SOBOE
Fatigue
How long does angina pain have to be to suggest MI?
20 minutes
Cardiac risk factors
Hypertension Hyperlipidaemia Smoking Diabetes FHx
Claudication:
Severity
Distance that can be walked before pain
What can unilateral leg oedema indicate?
DVT
What can generalised oedema indicate?
Increased capillary permeability due to inflammation/allergy
Oedema:
Associated features
SOBOE
Orthopnoea
Oedema:
PHx
Cardiac
Alcohol/Hepatitis (liver failure)
Diabetes (kidney failure)
Clotting problems
Dyspnoea:
Severity
Amount of exercise
SOB at rest
Paroxysmal nocturnal dyspnoea
Number of pillows
