Palpitations

Question 1

Hypoglycemia tests

Answer 1

Point of care glucose

Question 2

Panic attack ddx

Answer 2

• substance abuse (Utox)
• GAD (GAD7)
• pheochromocytoma (24 hr urine catecholamine)

Question 3

Tip off for social phobia

Answer 3

• palpitations while presenting in public

Question 4

Mitral valve prolapse hx

Answer 4

episodic palpitations accompanied by lightheadedness and sharp, atypical chest pain (due to arrhythmia)

Question 5

Mitral valve prolapse tests

Answer 5

1. EKG

2. TEE

Question 6

Cardiac arrhythmia tests

Answer 6

1. Holter monitor