Topic Info - BotMed Application

TopicName

Palpitation

ClinicalTests

CBC (anemia);
Electrolytes;
TSH, FT4 (hyperthyroid);
Urine toxicology (drug abuse);
24-hour urinary catecholamines (pheochromocytoma);
Mental status exam;
Glucose (hypoglycemia);
5-HIAA (Carcinoma);

Referral to cardiologist;

ImagingStudies

ECG (arrhythmia);
Echocardiography (mitral prolapse);
Holter monitor;

PhysicalExams

Vital signs; endocrine/thyroid exam, including exophthalmos, lid retraction, lid lag, gland size, bruit, and tremor; complete cardiovascular exam.

Comment

Gradual vs. acute onset/offset, context (exertion, caffeine, anxiety); associated symptoms (lightheadedness, loss of consciousness, chest pain, dyspnea, fever, sweating, pale skin, flushing, diarrhea); 
hyperthyroid symptoms; 
history of bleeding or anemia; 
history of heart disease, hypertension, or diabetes.
Check all patients with arritmia (A-fib) for stroke!

WebLink

https://www.aafp.org/afp/2005/0215/p743.html | https://www.aafp.org/afp/2017/1215/p784.html