A young female with Palpitations
A female aged 30 years Chief Complaints Palpitations Pain Chest Sweating (x 3 days) Vitals BP - 106/60 mmHg PR - 90/min
ECG normal Palpitations may be difficult to diagnose, since often the symptoms are intermittent and may not be present when the patient presents for care. As with most medical conditions, the key to making the diagnosis lies in the history and physical examination. The health care professional may ask questions to understand the sensation felt by the patient: Are the palpitations an isolated extra or skipped beat or are there runs that can last for minutes or hours? What makes them come on? What makes them go away? What other symptoms might be present, including shortness of breath, chest pain, sweating, nausea and vomiting, lightheadedness, and syncope? Past medical history is important, including a history of heart or lung disease and prescribed medications. Knowing whether other medications or drugs are being used will be helpful. These include caffeine, over-the-counter medications, herbal medications, alcohol, and illegal drugs that may affect the heart (for example, cocaine, amphetamines, and others). Treatment:-Palpitations are treated depending upon the underlying cause of the abnormal heart rhythm, and is tailored to the specific patient's needs. Many causes of palpitations are self-limiting and lifestyle changes may help decrease their occurrence. These include deceasing or avoiding the use of caffeine, alcohol, and over-the-counter cold medications. As well, many herbal medications contain stimulants that may affect the heart's electrical conducting system. Smoking cessation is always appropriate. Depending upon the underlying cause of palpitations, medications may be prescribed to control the heart rate and rhythm. Other treatments may involve ablation or surgical techniques to remove the underlying cause of certain palpitations. Pacemakers and defibrillators may be indicated if life-threatening conditions are the cause of palpitations.
Cases that would interest you
- Login to View the image
20/female post cervicovertebral dysplasia had breathing difficulty; interpret abg findings
Dr. Isha Garg1 Like16 Answers - Login to View the image
76yr old female diagnosed Interstitial lung disease.... Presented with fever breathlessness to casualty After careful examination Culture showed kleibshella ...pneumonia... Later patient was put on antibiotic according to culture report..... No improvent seen Patient still had wheeze and breathlessness and fever Changed the antibiotic to meropenam and colistin Still no improvement is seen Today ct showed image 1 Cavitation???? Fungal ball??? Aspergillosis?? But previous ct and X-rays in 2016 showed cavity too.... Patient is kept on ntg as Bp is 180/100 in titration dose 3ltrs of oxygen.... without tat patient not able to maintain saturation Ecg showed some irregular rhythm was taken advice from cardiologist and put on calaptin tablet 40.... Please suggest further suggestion n opinion
Dr. Vinayak Hiremath6 Likes20 Answers - Login to View the image
65 yr old male, smoker presenting with history of Cough, DOE & Weight loss since last 1 month. Sputum AFB was Negative. Esr was 103. What is the likely diagnosis here?
Dr. Viral Patel5 Likes39 Answers - Login to View the image
A 51 year old man presents with syncope. He has a long history of breathlessness and dry cough. Please comment on the x ray
Dr. Yogesh Varma3 Likes25 Answers - Login to View the image
this 1 day , old baby, born by LSCS , having RDS and redness of face Diagnosis ?
Dr. Ahmadullah Ansari5 Likes30 Answers