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Palpitations

  • Common ddx

    • caffeine usage, arrhythmia, valvular disease, panic attack, HCM
  • Serious ddx

    • angina, PE, MI, tamponade, pericarditis, CHF
  • Orders, labs

    • EKG, old EKGs
    • cardiac monitor
    • holter monitor
    • CXR
    • CBC, BMP, BNP
    • coags
    • cardiac enzymes
    • Utox if cocaine
  • Tachycardic ddx

    • atrial fibrillation
  • Bradycardic ddx

    • heart block
  • Normal rate ddx

    • PAC, PVC
  • Other ddx

    • Dressler's, cocaine
  • HPI

    • onset: acute vs chronic, new vs old
    • frequency, duration
    • severity
    • alleviation
    • aggravation
  • ROS

    • fever, diaphoresis
    • rash
    • chest pain, dyspnea, orthopnea, PND
    • cough, sputum, hemoptysis
    • abdominal pain, nausea, vomiting, dysphagia
    • syncope
    • lower extremity pain
  • PMH

    • CAD, MI, recent MI, PE, DVT, anxiety disorder
  • FH

    • CAD
  • SH

    • smoker, cocaine, stasis, recent travel
  • Meds

    • anticoagulants, ED drugs
  • Allergies

  • Px

    • vitals
    • gen impression
    • skin: rash
    • JVD
    • cardio: murmurs, gallops, friction rub
    • pulm
    • GI
    • extremities: bilateral pulse, edema

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.