PALPITATION

DD:

Arrhythmia 

Pheochromocytoma

Thyroid

Anxiety/ panic attack

(Hypoglycaemia, fever, vasovagal attack)

MVP/pericarditis, CHF, pulmonary dis

Alcohol, tobacco, Coccain, coffee, drug induced

History:

Tell me more/ TAP
Since when? First time?
How frequently? 
Relieving/ aggravating factors

• Chest pain/ exertional dyspnea? 
• Cough/ SOB
• Headache/ LOC/ Numbness or weakness of body
• BP/ episodic sweating
• Weather preference? tremor
• Stress/ fever/ exercise

SADMA -  alc, illicit drug, coffee, energy drinks, digoxin, theophylline 
PMH, FAmily Hx, Social Hx- Sress