Palpitations Flashcards
1
Q
What key history would you obtain from a patient that complains of palpitations?
A
Gradual vs. acute onset/offset Context (exertion, caffeine, anxiety) Associated symptoms (lightheadedness, chest pain, dyspnea) Hyperthyroid symptoms History of bleeding or anemia History of heart disease
2
Q
What key physical exams would you obtain on a patient that complains of palpitations?
A
Vital Signs
Endocrine/thyroid exam (exophthalmos, lid retraction, lid lag, gland size, bruit and tremor)
Complete cardiovascular exam
3
Q
70 yo diabetic M presents with episodes of palpitations and diaphoresis. He is on insulin. Differentials?
A
Hypoglycemia Cardiac arrhythmia Angina Hyperthyroidism Hyperventilation episodes Panic attacks Pheochromocytoma
4
Q
70 yo diabetic M presents with episodes of palpitations and diaphoresis. He is on insulin. Differentials: hypoglycemia, cardiac arrhythmia, angina, hyperthyroidism, hyperventilation episodes, panic attacks, pheochromocytoma. Workup?
A
Glucose Carcinoid CBC, electrolytes TSH BUN/Cr ECG Holter monitor
